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The client with a right-sided paralysis from a stroke become…

The client with a right-sided paralysis from a stroke becomes frustrated with attempting to self-feed.  The client throws the spoon and begins to cry.  Which action by the nurse is best?

Published February 26, 2025
Categorized as Uncategorized

A client enters the emergency department with right-sided we…

A client enters the emergency department with right-sided weakness and vision changes. What assessment finding should the nurse communicate to the health care provider immediately?

Published February 26, 2025
Categorized as Uncategorized

When assessing a client with a head injury, the nurse recogn…

When assessing a client with a head injury, the nurse recognizes which of the following as early indicators of increased intracranial pressure (ICP)? (Select all that apply.)

Published February 26, 2025
Categorized as Uncategorized

A client who experienced head trauma yesterday is maintainin…

A client who experienced head trauma yesterday is maintaining an intracranial pressure reading of 21. Select all medications that are appropriate in the management of patients with acute brain trauma. (Select all that apply)

Published February 26, 2025
Categorized as Uncategorized

Which statement by a teen who is being discharged from the e…

Which statement by a teen who is being discharged from the emergency room with a concussion indicates a need for further teaching?

Published February 26, 2025
Categorized as Uncategorized

A 62 year old client is brought to the clinic by a family me…

A 62 year old client is brought to the clinic by a family member who is concerned about the client’s inability to solve common problems. To obtain information about the client’s current mental status, which question should the nurse ask the client?

Published February 26, 2025
Categorized as Uncategorized

The nurse is preparing to teach a client on transient ischem…

The nurse is preparing to teach a client on transient ischemic attack (TIA).  Which statement indicates that further teaching is required.

Published February 26, 2025
Categorized as Uncategorized

The nurse understands that when the spinal cord is injured,…

The nurse understands that when the spinal cord is injured, ischemia and edema result. Which rationale is most accurate for the nurse to understand related to the fact that the extent of injury cannot be determined for several days to a week?

Published February 26, 2025
Categorized as Uncategorized

The doctor ordered  that a client’s IV infusion be increased…

The doctor ordered  that a client’s IV infusion be increased from 100 ml/hr to 125 ml/hr; 600 ml has already infused from the 1000 ml bag.  How many hours will it take for the remainder to infuse?   Express in hours and minutes. 

Published February 26, 2025
Categorized as Uncategorized

The nurse is caring for a patient with increased ICP. Which…

The nurse is caring for a patient with increased ICP. Which symptoms are related to Cushing’s Triad and signal impending herniation and death? (Select all that apply)

Published February 26, 2025
Categorized as Uncategorized

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