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What would be your immediate goal for a patient with increased ICP?

A patient is admitted after suffering multiple traumatic injuries in a motorcycle accident. He has skin lacerations on his face and forearm. X-rays reveal fracture of C-7 and fractured femur. He is alert and oriented. Pupils equal at 5 mm, reactive to light. No sensation in legs and feet.  Which of the following would be the lowest priority in providing care for this pt? 

A client who had intracranial surgery is experiencing diabetes insipidus.  The nurse plans care knowing that the client is experiencing which problem?

The nurse is caring for a client following a supratentorial craniotomy in which a large tumor was removed from the left side. Select the position(s) in which the nurse can safely place the client.  SELECT ALL THAT APPLY

A nurse is caring for a patient diagnosed with lung cancer who has a chest tube. The chest tube has continuous bubbling in the water-seal chamber. What does the nurse understand that this indicates?

Heparin 7,500 units SQ, bid is ordered for your client. On hand is Heparin 10,000 units/mL. How many mL will you give? Do not include ml in your answer. Round to the nearest hundredth.

The nurse will interpret which finding as an early sign of a tension pneumothorax in a client with chest trauma?

The client with a laryngectomy is being discharged. The nurse will determine that the client understands to do which self-care measures? Select all that apply.

 You are performing tracheal suctioning of a client. You will interpret that the client is adequately tolerating the procedure if which of the following observations are made?

The nurse is monitoring a client after removal of an endotracheal tube. Which sign experienced by the client will the nurse report immediately to the health care provider?