A client who suffered a hemorrhagic stroke has dysphagia and is prescribed a soft diet with nectar thick liquids. Which item should the client be instructed to avoid?
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A school nurse witnessed a student fall down a flight of sta…
A school nurse witnessed a student fall down a flight of stairs. The student is breathing, has a pulse, but is unconscious. What action the nurse should take?
The nurse enters the client’s room and notes the client look…
The nurse enters the client’s room and notes the client looking spontaneously around the room. The client is able to state their name, date of birth, and allergies when prompted for that information. The nurse asks for permission to assess the client’s vitals and the client lifts the right arm for the nurse to apply the blood pressure cuff. The client’s blood pressure is 114/72 mm Hg, heart rate is 81, respiratory rate is 16, and temperature is 37.9°C. The client rates their pain a 2/10 and describes it as a dull ache behind the left eye. What is the client’s Glasgow Coma Scale score? Write the number in the blank below.
When caring for a client with a brain tumor, the nurse notes…
When caring for a client with a brain tumor, the nurse notes extension of the arms and legs and plantar flexion. How does the nurse document these findings?
Which painful stimuli should the nurse avoid when calculatin…
Which painful stimuli should the nurse avoid when calculating the Glasgow Coma Scale score of a client who sustained severe facial fractures?
The nurse is caring for a client following a hemorrhagic cer…
The nurse is caring for a client following a hemorrhagic cerebral vascular accident. Which risk factor should the nurse help the client develop a plan to change?
What cranial nerve is the LPN/LVN assessing when touching a…
What cranial nerve is the LPN/LVN assessing when touching a tongue depressor to the back of the pharynx to elicit the gag reflex?
A CNA is extinguishing a fire that has broken out in the wor…
A CNA is extinguishing a fire that has broken out in the workplace. Which is the first step the CNA should take?
Which of the following best defines steatorrhea?
Which of the following best defines steatorrhea?
While providing care for an older patient, the CNA notices t…
While providing care for an older patient, the CNA notices that the patient has had only small, frequent, watery stool for several days Which intervention doe the CNA anticipate the nurse will perform as a result of these findings?