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In reviewing a patient’s medical record, the nurse notes that the last eye examination revealed an intraocular pressure of 32 mm Hg. The nurse will plan to assess

The nurse is caring for a patient who has had a stroke (brain attack). The patient is unable to understand what the nurse is saying and appears frustrated. What term should the nurse document to describe this finding?

Gustar and Similar Verbs. ¿Qué les gusta? Complete each of the following sentences by selecting the most logical verb.  Type only the letter in the blank. 1.A mí me [BLANK-1] mucho la historia de Chile. Es un país fascinante.        a. aburre             b. aburro                      c. interesa                    d. intereso 2. Pascual y yo no comemos por la mañana. No nos [BLANK-2] desayunar.        a. apetece     b. apetecemos       c. molesta             d. molestamos 3. A Manuel y a Fátima no les [BLANK-3] difícil este examen porque estudian mucho.        a. parecen        b. parece                      c. gustan                      d. gusta 4. ––Te [BLANK-4] merendar galletas de chocolate con leche, ¿no?      ––Sí, son muy ricas.        a. molestas       b. molesta                    c. encanta                    d. encantas

Which of the following occur during a sympathetic nervous system response?

Which of the following are interventions used to prevent increased intracranial pressure in a patient who has had an acute brain injury? (Select all that apply.)

The nurse is caring for a patient admitted to the hospital with a fractured femur and possible head injury. Vital signs on admission were blood pressure 128/72 mm Hg, pulse 90 beats/min, and respirations of 36 breaths/min. Four hours after admission, the nurse is checking vital signs as part of the hourly assessment. Which of the following vital signs most likely indicate the presence of increased intracranial pressure (ICP)?

A client with a traumatic brain injury has a ventriculostomy system in place. Which finding would need to be reported to the provider?

An acute care nurse is caring for an adult client who is undergoing evaluation for a possible brain tumor. While performing a neurological examination, which of following findings is the earliest indicator of the client’s cerebral status?

A nurse is preparing to perform a cranial nerve examination on a client. Which of the following actions should the nurse take to check cranial nerve VII?

A nurse is caring for a client who has increased intracranial pressure. Which of the nursing interventions should the nurse take?