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."
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
The adult client is displaying regression, which is a defense mechanism where an individual reverts to an earlier stage of development in response to stress or conflict. In this case, the client is throwing a temper tantrum, which is a behavior typically associated with young children, because he does not get his own way. This behavior can be seen as a regression to a less mature way of coping with stress or conflict.
Correct Answer is D
Explanation
When collecting equipment to administer a unit of packed red blood cells, the nurse should use 250 mL of normal saline to initiate the IV for this transfusion ³. Normal saline is the only compatible solution to use with blood or blood components ³. The other options (100 mL of 5% dextrose and 1/2 normal saline, 1,000 mL of lactated Ringer's solution, and 500 mL of 5% dextrose and water) are not appropriate IV fluids to use when administering a unit of packed red blood cells.
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