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A patient is hospitalized with  Guillian-Barre syndrome.  The most important, essential assessment for the nurse to perform is:

Match the level of consciousness.

A 72-year-old patient who has a history of a transient ischemic attack (TIA) has an order for aspirin 160 mg daily. When the nurse is administering medications, the patient says, “I don’t need the aspirin today. I don’t have a fever.” Which action should the nurse take?

A nurse is caring for a patient with meningitis who has a positive Brudzinski sign. Which assessment led to this conclusion?

When assessing a 53-year-old patient with bacterial meningitis, the nurse obtains the following data. The nurse recognizes all of the following as symptoms of bacterial meningitis.  Which finding is most important to report to the physician immediately?

A patient with restless leg syndrome has not responded to nonpharmacologic interventions and drug therapy is considered.  The nurse recognizes that a drug that would most likely be administered for this disorder is:

Three days following intracranial surgery, a client develops fever, nuchal rigidity, and headache.  Which of the following problems would the nurse suspect?

The health care provider is considering the use of sumatriptan (Imitrex) for a 54-year-old male patient with migraine headaches. Which information obtained by the nurse is most important to report to the health care provider?

A 42-year-old patient who has bacterial meningitis is disoriented and anxious. Which nursing action will be included in the plan of care to best assist the patient?

You are treating a patient with suspected heat cramps. Your medical director has issued standing orders for such treatment given the high number of heat-related emergencies to which your service routinely responds in the summer months. Regarding these standing orders, which of these instructions would seem most appropriate?