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A blind client is admitted to the unit. The nurse walks the client around the room allowing the client to orient where all the furniture in the room is to promote independence and safety. When giving the meal tray to this client what nursing actions are appropriate? Select all that apply

A nurse suspects that a client admitted for treatment of bacterial meningitis is experiencing increased intracranial pressure (ICP). Which of the following assessment findings by the nurse supports this suspicion?

A young man who sustained a deep laceration while working on a farm fence has arrived at the ED.  He requires sutures.  The administration of a tetanus booster will stimulate the production of which of the following? 

A nurse is caring for a client who has a traumatic brain injury. Which finding should the nurse identify as an indication of increased intracranial pressure (ICP)?

An older client presents with central obesity, a buffalo hump, and thin extremities.  The client states that she bruises easily, has purple areas on the flank of her abdomen, and has developed acne.  What past medical history/treatments could be the cause of these changes? 

The Covid-19 virus  was identified as a novel virus that started in the Wuhan province in China.  A nurse caring for a client who has tested positive for Covid-19 should don what equipment to assist in the intubation of the client? 

A nurse is assessing a client’s cranial nerves as part of a neurological examination. Which of the following actions should the nurse take to assess cranial nerve III?

The nurse in the medical ICU is caring for a client who is in respiratory acidosis due to inadequate ventilation. What situation or condition could the client have that could cause inadequate ventilation?

A nurse is caring for a client who has late-stage Alzheimer’s disease and is hospitalized for treatment of pneumonia. During the night shift, the client is found climbing into the bed of another client who becomes upset and frightened. Which of the following actions should the nurse take?

The client admitted after a fall from the roof is being monitored for adequate cerebral perfusion pressure (CPP). His current blood pressure is 113/42 and his intracranial pressure (ICP) is 26 after 1 bottle of mannitol being administered.  The nurse would report to the provider the current CPP is _______. (round to a whole number)