A nurse is monitoring a patient who sustained a head injury. The nurse recognizes which finding as the earliest sign of change in neurologic status?
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A client who has developed impaired vision because of previo…
A client who has developed impaired vision because of previously undiagnosed glaucoma asks the nurse if the lost vision will return. Which of the following replies by the nurse is most accurate?
The client with angina complains that their chest pain is in…
The client with angina complains that their chest pain is intermittent during rest or with activity. On further data collection, the nurse notes that the client reports poor response to rest or nitro. This type of anginal pain is best described as:
Your patient was struck in the right temple by a baseball ba…
Your patient was struck in the right temple by a baseball bat. He has immediate loss of consciousness but recovered and was slightly confused but otherwise well during transport to the hospital. In the ER, he has rapid deterioration in level of consciousness and dilation of the right pupil. This is a classic finding of a(n);
The nurse would prioritize that which of the following nursi…
The nurse would prioritize that which of the following nursing diagnoses has highest priority for a client experiencing an attack of Meniere’s disease?
The nurse is assessing a client who describes “stomach disco…
The nurse is assessing a client who describes “stomach discomfort.” What is the most appropriate sequence for conducting the physical examination?
The nurse is triaging a patient who just presented to the em…
The nurse is triaging a patient who just presented to the emergency department. Which cluster of assessment findings would the nurse evaluate as indicated the greatest possibility that this patient is having a stroke?
Liam, a 2 year-old, has just been dropped off at daycare. Wh…
Liam, a 2 year-old, has just been dropped off at daycare. Which of the following activities is not appropriate for Liam’s developmental age?
During the acute phase of subarachnoid hemorrhage due to a c…
During the acute phase of subarachnoid hemorrhage due to a cerebral aneurysm the nurse should:
Contraindications to the administration of thrombolytic ther…
Contraindications to the administration of thrombolytic therapy for a patient presenting with a STEMI include which of the following? Select all that apply.