You are on scene with a patient who is a quadriplegic. Which of the following would you expect to see in this patient?

A) An inability to feel pain
B) Visual disturbances
C) Speech abnormalities
D) Low blood pressure


Answer: D) Low blood pressure

Nursing

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When assessing a client in the pretreatment evaluation phase prior to radiation therapy, the nurse most needs to assess which of the following things?

1. Nutritional status 2. Client's commitment to the full course of treatment 3. Presence of any metal objects in the client's body 4. Skin integrity

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A patient is having pulmonary-function studies performed. The patient performs a spirometry test, revealing an FEV1/FVC ratio of 60%. How should the nurse interpret this assessment finding?

A) Strong exercise tolerance B) Exhalation volume is normal C) Respiratory infection D) Obstructive lung disease

Nursing

A nurse instructs a nursing assistant about the proper use of a gait belt and is observing a return demonstration. What action by the nursing assistant should cause the nurse to intervene?

a. Nursing assistant is walking on the patient's strong side b. Nursing assistant is walking to the side of the patient c. Nursing assistant is securing the gait belt securely around the patient's waist d. Nursing assistant is grasping the handles of the gait belt while the patient ambulates

Nursing

The hospital nurse implements a teaching plan to assist an older patient who lives alone to independently accomplish daily activities. How would the nurse best evaluate the patient's long-term response to the teaching?

a. Make a referral to the home health nursing department for home visits. b. Have the patient demonstrate the learned skills at the end of the teaching session. c. Arrange a physical therapy visit before the patient is discharged from the hospital. d. Check the patient's ability to bathe and get dressed without any assistance the next day.

Nursing