Blog

Delirium is defined as: 

A nurse is explaining the National Institutes of Health Stroke Scale (NIHSS) to a graduate nurse. Which statement best indicates that the graduate nurse understands the purpose of performing the NIHSS?

When performing a physical assessment of a patient with myasthenia gravis, what clinical manifestations is the nurse likely to find? Select all that apply.

A client with stroke has a nursing diagnosis of Impaired Verbal Communication and has specific difficulty in verbal expression. The most helpful strategy by the nurse would be to

A registered nurse is teaching a student nurse about tissue plasminogen activator (tPA) administration in a patient with ischemic stroke. Which statement made by the student nurse indicates a need for further teaching?

You are developing a care plan for a 43 year-old male patient with a spinal cord injury at the level of C-7.  An appropriate and logical goal for this patient is that he will be able to

          The nurse caring for a patient with a left BKA notices a moderate amount of  red blood on the residual limb dressing.  Which action should the nurse implement first?

After a debridement procedure, the nurse assess the understanding of the patient and conclude that further teaching is needed when the patient states that:

A patient fell 2 days ago; he has an open (compound) fracture of his left tibia. The physician performed an open reduction with internal fixation (ORIF) to treat the fracture. A concerned nursing assessment for him would include

         The student nurse notes that a patient’s intracranial pressure reads 20 mm Hg using an intracranial pressure monitor.  The student nurse correctly interpret this as: