The nurse is preparing a pamphlet to educate client’s on the risk factors for a stroke. Which of the following statements will be placed on this educational material? Select all that apply.
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The nurse is caring for a client diagnosed with a cerebral a…
The nurse is caring for a client diagnosed with a cerebral aneurysm. The health care provider orders hydralazine 15 mg IV every 4 hours as needed to keep the systolic blood pressure less than 140 mmHg. The hydralazine available is 20mg/mL. To administer the correct dose, how many milliliters of medication will the nurse draw up in the syringe? Round your answer to the nearest hundredth. Do not include mL in your answer.
The client is scheduled for an EEG (electroencephalogram) in…
The client is scheduled for an EEG (electroencephalogram) in the morning. What foods will the nurse instruct the client to avoid before the test? Select all that apply.
The nurse should be prepared to administer which of the foll…
The nurse should be prepared to administer which of the following medications for pain control in a head injury client?
An unconscious client receiving emergency care following an…
An unconscious client receiving emergency care following an automobile crash accident has a possible spinal cord injury. What priority interventions for emergency care will be followed? Select all that apply.
The nurse is making rounds after receiving change of shift r…
The nurse is making rounds after receiving change of shift report. Which of the following clients will the nurse see first?
While riding a skateboard, the client has sustained a concus…
While riding a skateboard, the client has sustained a concussion. What is the nurse’s priority in providing care for this client?
A nurse is caring for a 20-year-old client who has a fever a…
A nurse is caring for a 20-year-old client who has a fever and reports severe headache. Vital Signs at 0800 Temperature 38.9° C (102° F); Tympanic Apical pulse 118/min; strong and regular Respirations 20/min; even and unlabored Blood pressure 114/78 mm Hg Oxygen saturation 97% on room air Nurses Notes 0800: Client reports missing classes at a local community college the last two days due to fever and headache. Rates pain with headache as a 9 on a scale of 0 to 10. Verbalizes that headache was not relieved by acetaminophen or ibuprofen taken at home. Client awake, alert, and oriented to person, place, and time. Pupils equal, round, and reactive to light. Temperature elevated. Skin warm and dry, face flushed. Petechiae noted on trunk. Reports nausea and vomiting frequent for the last 24 hr. Bowel sounds positive x 4 quadrants. Abdomen soft and nontender to light palpation. Photophobia present. Nuchal rigidity noted. Brudzinski’s sign positive. Respirations easy and unlabored. Lungs clear to auscultation. The nurse should address the client’s ___________ followed by the client’s ____________.
The nurse is caring for a client with multiple sclerosis (MS…
The nurse is caring for a client with multiple sclerosis (MS) who is having spasticity in the lower extremities that decreases physical mobility. What interventions can the nurse provide to assist with relieving the spasms? Select all that apply.
The nurse is called to a client’s room who has just fallen o…
The nurse is called to a client’s room who has just fallen out of bed. To prevent a spinal cord injury, which priority treatment will the nurse perform?