Category: General KnowledgesYour patient is a 10-month old female. How can you determine if she has a decreased mental status and isresponsive to verbal stimuli?She will be unable to tell you how old she is if you ask herShe will try and pull away from a painful stimulus in her toeShe will attempt to locate her parents' voices when they speakShe will be upset when you take her from her mother's armsDOOSubmit

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Phlebotomy Essentials

6th Edition

ISBN:9781451194524

Author:Ruth McCall, Cathee M. Tankersley MT(ASCP)

Publisher:Ruth McCall, Cathee M. Tankersley MT(ASCP)

Chapter1: Phlebotomy: Past And Present And The Healthcare Setting

Section: Chapter Questions

Problem 1SRQ

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An 18 month old child is admitted with signs of increased intracranial pressure. What would the nurse observe when assessing this patient? Numbness of fingers and decreased temperature Increased pulse rate and decreased blood pressure Decrease level of consciousness and decreased respiratory rate Decreased level of consciousness and increased respiratory rate
A 10-year-old child is brought into the emergency department by her mother. The mother appears anxious but sits quietly next to her daughter in the waiting room. When called into the triage area, the mother gives a history of coming home from work to find her daughter sitting on the couch watching television. Her daughter did not go to the door to greet her or look toward her when she said hello. The mother thought the daughter’s behavior was odd because she always greeted her at the door with a hug. As she approached her daughter, she noticed that she was clutching her right arm as if in pain. The mother asked what was wrong, but the daughter remained silent. Then she said, “Nothing is wrong.” The father is sleeping upstairs. The mother gives a family history of having an alcoholic husband who usually drinks himself to sleep. She said he has abused the child physically and psychologically in the past, and she brought her to the emergency department because she fears he has hurt the…
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You are a nursing student who is assigned to a busy medical-surgical unit that specializes in the care of patients with various neurologic disorders. One of your patients for the day is Mr. Choudhary, a 56 year old South Asian male with a primary diagnosis of cerebrovascular accident of hemorrhagic origin. You enter the room to conduct your morning assessment and you find that Mr. Choudhary is non-verbal but does seem to understand you. How do you think Mr. Chowdhary feels being unable to verbalize with you? How do you think you may best conduct your assessment while still being therapeutic to your non-verbal patient? How could you modify your assessment to be more certain that your non-verbal patient understands you?
A nurse is caring for a client in the emergency department (ED). Exhibit 1 Nurses' Notes 0600: Client presents with acute altered mental status. Client has a history of frequent ED visits for alcohol intoxication. Client states that they had an episode of binge drinking yesterday afternoon. Client awoke this morning on the living room floor trembling and flushed; remembers having intense dreams and was afraid they had a seizure so they called a family member to bring them to the ED. Client reports their average alcohol intake has been "two or three beers" after work each day and "more on the weekends" for the past 6 months. Client reports headache, nausea, agitation, and is noted to be diaphoretic. 0800: Client states "I've got bugs crawling on me. Get them off me!" Client tremulous and diaphoretic. Exhibit 2 History and Physical Alcohol use disorder Delirium tremens Nicotine use disorder Hypertension, diet and exercise controlled. Exhibit 3 Vital Signs 0600: Temperature 37°…
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CASE: A 19 year old Caucasian female from Canton, Ohio, is taken to her doctor’s office one afternoon by a co-worker after she had experienced stroke-like symptoms. Per the co-worker: the patient was working at her day job at Amazon, lifting boxes and placing them on conveyor belts. She was lifting a small box of “Keeping Up With the Kardashians” memorabilia, when she experienced the sudden onset of weakness in her bilateral upper extremities. Her co-worker noticed her friend standing in place with her arms extended and, confused, rushed her to the infirmary at the factory, after which she was told to go to her doctor. After questioning, the patient did state that she has experienced intermittent, occasional weakness which usually worsened as the day progressed. Throughout the day, she notices that her eyelids become progressively more droopy over time but that as she rests, her strength improves. After gathering this history, her physician decides to test her for a disorder known…

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