A patient being prepared for a nervous system examination is observed sitting quietly; however, the thumb and index finger of the left hand are moving in a circular motion. The nurse identifies this hand activity as being:
A) A postural tremor
B) An intention tremor
C) Myoclonus
D) A resting tremor
D
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A patient is being cared for by a nurse. The patient has questions regarding what time the surgery is scheduled. When the nurse responds to the question, the nurse is assuming which communication role?
a. Channel b. Receiver c. Message d. Sender
The nurse is writing a plan of care for a patient who is exhibiting Parkinson-like syndrome. What would be an appropriate intervention if, on assessing the patient, the nurse finds the patient is having difficulty swallowing?
A) Thicken all liquids. B) Keep the patient NPO (not taking anything orally). C) Give only soft or pureed foods. D) Provide small, frequent meals.
The nurse is changing the dressing on an open abdominal surgical wound. How should the nurse proceed?
1. Complete the dressing change as quickly as possible. 2. Thoroughly irrigate the wound with cool normal saline. 3. Remove the old dressing and leave the wound open to air for a few minutes prior to redressing. 4. Clean the wound edges with hydrogen peroxide prior to redressing the wound.
A 49-year-old man comes to the clinic complaining of awakening at night to void and voiding more than once in a 2-hour time period. The patient has a history of bladder irritation. What would be an appropriate nursing diagnosis for this patient?
A) Ineffective sexuality pattern B) Risk for infection C) Risk for urge incontinence D) Urinary retention