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A nurse is assessing a patient with infective endocarditis, the nurse notes their Glasgow Coma Scale (GCS) score has changed from 15 to 10 . What is the priority concern?

A patient with systemic lupus erythematosus (SLE) reports fatigue, swelling of the extremities, and weight gain. Which complication is the priority concern?

Which of the following patient’s takes highest priority?

A patient is diagnosed with an ischemic stroke following a head CT. The patient’s symptoms started 1 hour ago. Their BP is 190/110 mmHg. What is the nurse’s priority action?

The nurse is assessing their patient and observe them react to pain with the following motor response. What is the suspected cause of this manifestation? 

A patient presents with fatigue, pallor, dyspnea on exertion (DOE), and headaches. Which of the following diagnoses in this patient’s medical history does the nurse relate all of these symptoms to? 

The nurse is caring for a patient post traumatic brain injury with a ventriculostomy. During report the patient’s intracranial pressure (ICP) was 12 mmHg. When the nurse returns from receiving report on another patient the nurse notes the ICP is now 16 mmHg. What does this indicate?

All of the following are manifestations of shock except: 

The pregnant patient’s prenatal record indicates that she is a gravida 4 para 2022. The nurse understands that this indicates the patient had four pregnancies and:

The nurse is caring for a client who was transferred to the antepartum unit with preeclampsia who was on Magnesium sulfate therapy in labor and delivery for the last 24 hours.  On admission the client’s blood pressure was 150/80 and 160/90.   3+ urine protein, urine output 200 mL’s /hr, headache and epigastric pain.  The client rates pain an 8 on 0-10 scale. Which of the following assessment findings by the nurse would most indicate an improvement in the client’s condition?