A patient admitted for delirium demonstrates increased disorientation and agitation only during the evening and nighttime. The nurse documents this as:
a. evening.
b. nighttime.
c. bedtime.
d. sundowning.
Question 2A nurse needs to auscultate a patient's lung sounds. The nurse should place the patient in what position?
a. Sims'
b. Prone
c. Sitting
d. Lithotomy
Question 3When creating a nursing care plan for a patient with metabolic acidosis, the nurse should focus on:
a. frequent periods of ambulation.
b. increasing fluid intake.
c. decreasing fluid intake.
d. deep-breathing exercises.
Question 4A child who uses senses and motor abilities to understand the world is displaying characteristics consistent with Piaget's:
a. sensorimotor stage of cognitive development.
b. preoperational stage of cognitive development.
c. formal operational stage of cognitive development.
d. concrete operational stage of cognitive development.
Question 5A physician needs to assess a patient's rectal area. The nurse should place the patient in what position?
a. Sims'
b. Prone
c. Lithotomy
d. Knee-chest
Question 6When a young man with malaria spikes a temperature of 105 F and begins to hallucinate, the nurse assesses this as:
a. delirium.
b. a psychotic break.
c. a possible stroke.
d. an anxiety disorder.
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