A 20-year-old male suffers a severe closed head injury in a motor vehicle accident. He remains in a vegetative state 1 month after the accident. Which of the following structures is most likely damaged?
A. Cerebral cortex
B. Brain stem
C. Spinal cord
D. Cerebellum
Ans: B. Brain stem
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The nurse is assisting with a subclavian vein central line insertion when the patient's oxygen saturation rapidly drops
He complains of shortness of breath and becomes tachypneic. The nurse suspects a pneumothorax has developed. Further assessment findings supporting the presence of a pneumothorax include: A) Diminished or absent breath sounds on the affected side B) Paradoxical chest wall movement with respirations C) Tracheal deviation to the unaffected side D) Muffled or distant heart sounds
The nurse facilitators of a critical incident stress debriefing (CISD) have asked for time and funds for a short social time with refreshments at the end of the final day of the session
Which rationale would the facilitator provide as the primary reason for this request? 1. It would mark closure for the emotions generated during the session. 2. It would provide time for the facilitators to summarize the work of the group. 3. This time would allow participants to ask questions of the facilitators privately. 4. Food is a cultural expression of caring.
Under which conditions should a microdrip setup for an IV infusion always be used?
a. When the patient is an infant b. When whole blood is to be infused c. When the patient has only a few veins available for infusion d. When a very large amount of fluid needs to be infused quickly
SP's weight after her last visit was 85 lbs. Recalculate her percent loss of weight