A client, recovering from an extended illness, is having difficulty coordinating his movements to walk. The nurse should remind the client that skeletal muscle has which of the following normal properties?
1. It is automatic.
2. It is convulsive.
3. It is involuntary.
4. It is voluntary.
4
Skeletal muscle is voluntary. Cardiac and smooth muscles are involuntary. Skeletal muscle is not normally convulsive in nature.
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In an assessment of the level of consciousness of a patient who does not respond to environmental stimuli such as noise, the proper sequence to follow is to next assess the patient's response to
a. light touch, verbal stimuli, and then painful stimuli. b. verbal stimuli, light touch, and then painful stimuli. c. pressure to a nail bed of each extremity, pinching the trapezius muscle, and pressure applied to the supraorbital ridge or manubrium. d. gentle shaking, shining a light in the patient's eyes, and then painful stimuli.
Which laboratory test result indicates to the nurse that the factor VIII cryoprecipitate therapy for the client with hemophilia is effective?
A. Hematocrit of 43% B. Platelet count of 200,000/mm3 C. Prothrombin time of 15 seconds (INR of 1.3) D. Activated partial thromboplastin time of less than 30 seconds
Which information about dietary management should the nurse include when teaching a patient with peptic ulcer disease (PUD)?
a. "You will need to remain on a bland diet." b. "Avoid foods that cause pain after you eat them." c. "High-protein foods are least likely to cause you pain." d. "You should avoid eating any raw fruits and vegetables."
A nurse is working with a young male client who says that he is Elvis Presley. Recognizing that this is a delusion of grandiosity, the nurse decides that a goal today will be to promote a sense of self-worth and increased self-esteem
What did the nurse do? A) Reminded the client that his name is not Elvis and remarked on the qualities of his real name. B) Tell the client how handsome he looked and remarked on his classy sideburns. C) Complimented the client when he was being considerate of another, older patient on the unit. D) Asked the client to sing for the others on the unit to demonstrate his Elvis style.