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?
Category: Uncategorized
A nurse is caring for a client who has a traumatic brain inj…
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)?
A young man who sustained a deep laceration while working on…
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?
An older client presents with central obesity, a buffalo hum…
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 sta…
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…
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?
A nurse is caring for a client who has late-stage Alzheimer’…
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 nurse in the medical ICU is caring for a client who is i…
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?
The client admitted after a fall from the roof is being moni…
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)
A nurse provides care for a client who is diagnosed with the…
A nurse provides care for a client who is diagnosed with the syndrome of inappropriate antidiuretic hormone (SIADH). Which of the following laboratory values would be expected?