Ten hours after admission to the ICU following an auto accident, a client begins to exhibit mild tachycardia, irritability, and tremors. Three hours later, the client has a grand mal seizure. The staff suspect that the client has:
A) Undetected internal bleeding.
B) Wernicke's encephalopathy.
C) Alcohol withdrawal syndrome.
D) Korsakoff's syndrome.
Question 2
Marnie is a 16-year-old patient with bipolar disorder. She is manic right now and is in the hallway naked, making sexual requests of staff and other patients. What is your best course of action?
A) Quietly approach her, escort her to her room, and assist her to get dressed.
B) Quietly approach her, escort her to her room, and explain to her the inappropriateness of her actions.
C) Approach her, confront her behavior as it is happening, and escort her to her room.
D) Confront her behavior in the hall, apologize to the other patients, and escort her to her room.
A nurse adjusts the rate of a client’s IV.
Patient with a cerebrovascular accident.
The nurse begins the general survey
Survey and posture of client: Lateral view
Testing patellar reflex, client in a sitting position
A group of children were asked how many hours a day they spend watching television.