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The nurse cares for a client diagnosed with a head injury. Which symptom most concerns the nurse?

A nurse is caring for a patient who has sustained a traumatic brain injury and has an external ventricular drain (EVD) in place to monitor intracranial pressure (ICP). The nurse observes that the patient’s ICP reading is 20 mm Hg from a previous value of 12 mm Hg. The nurse assesses the patient and notes their sedation level, alignment, positioning, and lab results. All are within normal range. The patient appears relaxed and comfortable and does not exhibit any posturing to stimuli. Which of the following actions should the nurse take next?

 A client diagnosed with severe traumatic brain injury and increasing ICP value has a PaCO2 of 65 mm/Hg. Which would be the priority for the nurse to assess?

A client is admitted after a motor vehicle crash with multiple fractures. The client rates pain 9/10 and is visibly guarding the injured extremity. The nurse notes tense muscles, moaning, and restlessness. Lung sounds are clear, pulses are strong with cap refill

47. Muscles anterior to the ankle perform what movement? (0.5 pt)

The exam is 120 minutes. You will have an additional 15 minutes to print (if available), scan, and upload. If you submit after the allotted time, your exam will be considered late and may incur a late penalty. After you complete your exam, scan your solutions into one .pdf file. Please upload your completed exam file by clicking on the “Add File” button underneath Question 1’s blank answer field. Download exam file here: Exam 1 1. This is a 2-hr exam. Closed book and notes. No electronic devices or internet access.2. A single double sided 8.5in x 11in cheat sheet is allowed.3. If a description to an algorithm or a proof is required, please limit your description or proof to within 150 words, preferably not exceeding the space allotted for that question.4. No space other than the pages in the exam booklet will be scanned for grading.5. If you require an additional page for a question, you can use the extra page provided within this booklet. However please indicate clearly that you are continuing the solution on the additional page.6. Do not detach any sheets from the booklet.7. If using a pencil to write the answers, make sure you apply enough pressure, so your answers are readable in the scanned copy of your exam.8. Do not write your answers in cursive scripts.9. This exam is printed double sided. Check and use the back of each page. If your exam utilizes Gradescope’s Student App, Do NOT upload to Gradescope. You will only upload your scanned exam file to this D2L quiz. 

Using a systematic procedure to select sufficient research participants is a strategy for avoiding which of the following TWO everyday errors (choose the BEST answers):

Which client finding(s) would cause the nurse concern for the continued administration of warfarin (Coumadin)? 

A nurse is caring for a client who has advanced HF and receives epinephrine. Which of the following assessments is priority for the nurse to perform after initiating an epinephrine infusion?

When administering an SGLT2 inhibitor, empagliflozin, to a patient with heart failure, which nursing intervention will be prioritized?