When caring for a patient who had a hemorrhagic stroke, close monitoring of vital signs and neurologic changes is imperative. What is the earliest sign of deterioration in a patient with a hemorrhagic stroke?

A) Headache
B) Alteration in level of consciousness
C) Tonic-clonic seizures
D) Shortness of breath


Ans: B
Feedback: Alteration in level of consciousness is the earliest sign of deterioration in a patient with a hemorrhagic stroke such as mild drowsiness, slight slurring of speech, and sluggish papillary reaction. Therefore options A, C, and D are incorrect.

Nursing

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The nurse is not happy to learn that a newly admitted patient is from the same culture as a previous patient who had created much turmoil on the care area. What behavior is this nurse prone to demonstrate?

A. Prejudice B. Discrimination C. Ethnocentrism D. Racism

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A nurse points out that a physiologic response to stress involves the total body. Which syndrome is this considered?

a. General adaptation b. Local adaptation c. Negative feedback d. Total adaptation

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A patient with a musculoskeletal disorder is prescribed carbamazepine (Tegretol). What medication education should the nurse provide? Note: Credit will be given only if all correct choices and no incorrect choices are selected

Select all that apply. 1. "Take your medication with food.". 2. "You may be more sensitive to the sun, so be certain to wear protective clothing or sunscreen.". 3. "If mouth ulcers appear, notify the prescriber.". 4. "Avoid touching the pill with your fingers.". 5. "If fever occurs, notify the prescriber.".

Nursing

Relaxation techniques help patients who have experienced major traumas because they:

a. engage the parasympathetic nervous system. b. increase sympathetic stimulation. c. increase the metabolic rate. d. release hormones.

Nursing