When caring for a child with a seizure disorder, what is the highest priority goal?
A) The family caregiver's anxiety will be reduced
B) The child will have an understanding of the disorder
C) The family will understand seizure precautions
D) The child will be free from injury during a seizure
Ans: D
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A child has been admitted to the hospital unit in congestive heart failure (CHF). Symptoms related to this admission diagnosis would include:
1. Weight loss. 2. Bradycardia. 3. Tachycardia. 4. Increased blood pressure.
A client undergoing a colonoscopy tomorrow is receiving preoperative teaching regarding the procedure. Which of the following nursing tasks best describes the explanation of the procedure and the associated risks and benefits?
A) Ascertaining the client's privacy B) Acquiring informed consent C) Encouraging the client to be self-determined D) Acting in a beneficent manner
An incoherent client has been brought to the emergency department (ED) by a family member. Which resource should the nurse initially use to obtain information about the client's current state of health?
A. Conduct a thorough physical assessment and document the health history as "unable to obtain." B. Obtain the patient's records from the Medical Records department. C. Discuss the situation with the family member who brought the client to the hospital. D. Call the client's healthcare provider.
An instructor is educating a group of nursing students on defense mechanisms. The instructor determines that the education was successful when the group states which of the following?
A) Most defense mechanisms are considered to be maladaptive, regardless of the situation. B) Defense mechanisms help mediate a person's response to emotional conflicts and external stressors. C) Use of defense mechanisms indicates that a person's mental state is dysfunctional. D) Persistent use of defense mechanisms commonly enhances a person's quality of life.