The nurse is preparing to teach a client on transient ischemic attack (TIA). Which statement indicates that further teaching is required.
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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?
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.
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)
The nurse is educating the spinal cord injury patient about…
The nurse is educating the spinal cord injury patient about intermittent cathing at home due to neurogenic bladder. Which topics should the nurse be sure to include in their teaching? (Select all that apply)
You are the nurse on a medical surgical floor. During mornin…
You are the nurse on a medical surgical floor. During morning rounds, you check your 20 year old client admitted overnight with increased seizure activity. Upon entering the room, you note the client is having uncontrolled muscle movements in all extremeties and does not respond when you call her name. What action would the nurse take first?
The nurse is providing discharge instructions to a client be…
The nurse is providing discharge instructions to a client being discharged on warfarin therapy. What information is important for the nurse to include? (Select all that apply.)
The nurse has performed a neurological assessment on a clien…
The nurse has performed a neurological assessment on a client and will document which normal findings?
The nurse is talking about foods to avoid with a client who…
The nurse is talking about foods to avoid with a client who suffers from migraine headaches. Which food selection by the client indicates that the teaching is effective?
The nurse is caring for a client diagnosed with Parkinson di…
The nurse is caring for a client diagnosed with Parkinson disease who is recovering from a fall at home. What teaching should the nurse include to help the client and their caregiver decrease fall risk?