Which assessment finding best supports the diagnosis of dissociative amnesia with fugue? The patient states:

A) "I cannot recall why I'm living in this town."
B) "I feel as if I'm living in a fuzzy dream state."
C) "I feel like different parts of my body are at war."
D) "I feel very anxious and worried about my problems."

Directions: Analyze the problem for the desired answer.Set up a dimensional analysis-style equation in the space provided using the available data.Ensure that all undesired units will be canceled before doing the math.Do not use shortcuts to solve the equations even if the answer is known.For credit,show all work.Label answers.Evaluate each equation for correct setup and desired answer units.
A hospital hires one registered nurse for every three nurse assistants.How many nurse assistants will be needed for 85 registered nurses?
DA equation:
Evaluation:

________ are the structural and functional units of the nervous system.

Radiate

A) Where is the pain located?
B) What causes the pain?
C) Does it come and go?
D) What does the pain feel like?
E) What is the rating on a scale of 0 to 10?

The patient is an elderly man who has just been admitted for a probable cerebrovascular accident.The patient is nonverbal and does not respond to requests but is able to turn himself in bed.The nurse notices that the patient likes to lie on his right side,and soon after being turned by the nursing staff,the patient turns back to his right side.The nurse in this case should:

A) allow the patient to lie on his right side continuously because he seems comfortable.
B) prevent the patient from lying on his right side until he no longer wishes to lie on that side.
C) frequently assess the patient and turn him more frequently.
D) allow the patient to lie on his right side until a pressure ulcer develops and he can no longer lie on that side.

A high acidity in urine can signify:

A) starvation.
B) hepatic disease.
C) fever or dehydration.
D) CHF.

For which patient is the nursing diagnosis Deficient Knowledge most appropriate?

A) Adolescent with Down syndrome and newly diagnosed with cardiac problem
B) Young adult admitted with acute renal failure who requires hemodialysis
C) Middle-aged woman with breast cancer receiving the last round of chemotherapy
D) Older adult with a long-standing history of type 1 diabetes admitted with a foot ulcer

A nurse is checking orders. Which order should the nurse question?

A) A normal saline enema to be repeated every 4 hours until stool is produced
B) A hypertonic solution enema for a patient with fluid volume excess
C) A Kayexalate enema for a patient with severe hypokalemia
D) An oil retention enema for a patient with constipation

On the fourth post-operative day,the client has a sudden coughing episode and tells the nurse that "something popped" in the abdominal incision.Upon inspection,the nurse finds that evisceration has occurred.What nursing action should be taken first?

A) Notify the client's surgeon
B) Cover the area with a large saline-soaked dressing
C) Position the client in bed with knees bent
D) Pack the wound with nonadherent gauze

While caring for a critically ill child, the nurse observes that respirations are gradually increasing in rate and depth, with periods of apnea. What pattern of respiration will the nurse document?

A) Dyspnea
B) Tachypnea
C) Cheyne-Stokes respirations
D) Seesaw (paradoxic) respirations