Blog

A client is admitted to the neurology intensive care unit after suffering a traumatic brain injury and spinal cord injury from diving into the lake head first. The healthcare provider orders mannitol to be infused. Which of following assessments should the nurse perform on a client receiving this medication? Select all that apply. 

A nurse is caring for a critically ill patient with autonomic dysreflexia. What clinical manifestations would the nurse expect in this patient? Select all that apply

A patient arrives to the emergency department and is unable to give you a health history due to altered mental status. The family reports the patient has gained over 10 lbs in 1 week and says it is mainly “water” weight. In addition, they report the patient hasn’t been able to urinate or eat within the past week as well and was recently diagnosed with small cell lung cancer. On assessment, you note the patient’s HR is 115 and BP 180/92. Patient sodium level is 90 (normal sodium 135-145). Which of the following conditions do you suspect the patient is most likely presenting with?

Which components are able to change to adapt to small increases in intracranial pressure (ICP)? Select all that apply.

Prior to completing the Tensilon test, it is most important for the nurse to have what at the bedside?

The nurse is prioritizing care for this shift, which client should the nurse see first?

You are assuming care of a client who was admitted with a traumatic brain injury related to a skiing accident. Assessments findings reveal that your client has increased intercranial pressure (ICP). Which order would the nurse question?

Your patient diagnosed with Myasthenia Gravis begins taking pyridostigmine. During the first week, the dosage is changed frequently. While the dosage is being adjusted, the nurse’s priority intervention is to:

A patient taking IV levothyroxine starts to complain of feeling hot and chest pain. On assessment, you find that the heart rate is 125 bpm and blood pressure is 200/103. You immediately notify the physician of the patient’s condition and receive orders for lab work. Based on the patient’s signs and symptoms, what is the MOST important lab result at this time to determine the cause of the patient’s symptoms?

A 46-year-old woman presents in the emergency department with a sudden onset of lightheadedness and generalized weakness of the left lower and upper extremities.    Nurses’ Notes   1100: A 46-year-old female of Latin descent presents to the emergency department with lightheadedness, generalized weakness of the left lower and upper extremities, and a sudden headache after completing a 2.5-mile sprint. Reports some nausea but no vomiting. Thinking she was dehydrated from her exercise, she drank about a liter of water and self-administered 500 mg of acetaminophen for pain with no improvement.  She reports the symptoms began at approximately 0900. No significant previous medical or surgical history. Takes an oral combined hormonal contraceptive. Occasionally drinks 3-4 glasses of wine a week and vapes with e-cigarettes daily. Continuous cardiac monitoring initiated, per protocol. Heart rate is 99 bpm, blood pressure is 160/100. She is awake and alert and can make her needs known. Voiding clear-yellow urine; abdomen is soft with bowels sounds in all quadrants. Reports increasing numbness to the left side and upper and lower extremities. Which of the following orders should the nurse prepare to complete FIRST?