How would a nurse document the condition in which a client has a normal state of awareness?

"Easily distracted, alternates between drowsiness and excitability."

"Disoriented, restless, agitated, hallucinating."

"Can't be aroused and does not respond to stimuli."

"Aware of self and environment."

Answer and Explanation

The Correct Answer is D

A normal state of awareness is characterized by being aware of oneself and one's surroundings. In this case, a nurse would document the client's condition as being "aware of self and environment" to indicate that the client has a normal state of awareness.

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Correct Answer is B

Explanation

Members of the Muslim cultural group might request an alternative meal choice when the menu specifies pork for a meal. In Islam, the consumption of pork is prohibited by religious dietary laws. As a result, Muslims who follow these dietary laws would need an alternate meal choice that does not contain pork.

A. Asymmetrical chest expansion B. Breath sounds equal bilaterally C. Bilateral symmetric vocal fremitus D. Chest symmetrical

Correct Answer is A

Explanation

During a lung assessment on a client suspected of having pneumonia, the nurse should report asymmetrical chest expansion to the physician immediately. Asymmetrical chest expansion can be a sign of a serious lung condition such as pneumonia. The other options (Breath sounds equal bilaterally, Bilateral symmetric vocal fremitus, and Chest symmetrical) are normal findings and do not need to be reported immediately.

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How would a nurse document the condition in which a client has a normal state of awareness?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is admitting a new client to the unit. The nurse notes that this client would need an alternate meal choice when the menu specified pork for a meal. Members of which cultural group might request an alternative meal choice?

Correct Answer is B

Explanation

A nurse is conducting a lung assessment on a client suspected of having pneumonia. Which finding should the nurse report to the physician immediately?

Correct Answer is A

Explanation

Which of the following is marked rhythmic waxing and waning of respirations from very deep to very shallow breathing and temporary apnoea?

A nurse palpates the pulse of a client and documents the following: 6/6/12 pulse 85 and regular, 3+ and equal in radial, popliteal, and dorsalis pedis. What does the number "+3" represent?

A nurse is taking care of an adult client who throws a temper tantrum because he does not get his own way. Which defense mechanism is the adult client displaying?

The client has a documented stage II pressure ulcer on the right hip. What NANDA nursing diagnosis problem statement is most appropriate to use with this client?

The nurse is using the PED model to write a nursing diagnosis. Which nursing diagnoses demonstrate that the nurse used this model appropriately? Select all that apply.

A client with an upper respiratory infection (common cold) tells the nurse, "I am so angry because the nurse practitioner would not give me an antibiotic." What would be the most appropriate response by the nurse?

Which of the following statements is true regarding types of health care agencies?

The nurse manager has determined that a new staﬀ nurse is demonstrating characteristics of a critical thinker. Which of the following did the manager observe the nurse perform? Select all that apply.