What type of thermometer would be the best choice when assessing the temperature of an older adult?
a. Electronic thermometer, because it only takes a few seconds to assess temperature
b. Oral thermometer, because the presence of dry mucous membranes gives a more valid temperature
c. Axillary thermometer, because its position is nearer the heart
d. Rectal thermometer, because it is the best indicator of the body core temperature
ANS: A
The electronic thermometer is the best device because it is accurate and quick.
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A patient has been diagnosed with partial seizures. What behavior during this patient's seizures that would not occur during a generalized seizure does the nurse expect?
A) Aura prior to seizure B) Twitching confined to one arm C) Absence of purposeful movement D) Postictal period or state
A nurse assessing a patient with a sleep disorder documents cataplexy as a finding. Which of the following is a feature of this condition?
A) irresistible urge to sleep, regardless of the type of activity in which the patient is engaged B) sudden loss of motor tone that may cause the person to fall asleep; usually experienced during a period of strong emotion C) nightmare or vivid hallucinations experienced during sleep time D) skeletal paralysis that occurs during the transition from wakefulness to sleep
A client with a history of long-term alcohol abuse is diagnosed with Wernicke's encephalopathy. The nurse would plan the client's care with the knowledge that which treatment will be needed first?
a. Large volumes of intravenous fluids to rehydrate b. Bolus of high-concentration glucose solution to treat hypoglycemia c. Intravenous thiamine to address nutritional deficiency d. Administration of stimulants to counteract depression
Diabetics who do NOT take insulin do NOT need to monitor their blood glucose levels
True False