A 39-year-old male suffers a severe brain injury when he falls off a building while working. CT scan reveals that he has a basilar skull fractures. One major concern for this patient is:
A. hematoma formation.
B. meningeal infection.
C. increased intracranial pressure.
D. cognitive deficits.
Ans: B. meningeal infection.
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The nurse is caring for a client who sustained rib fractures in an automobile accident. What symptoms does the nurse recognize as a complication of rib fractures and should immediately be reported to the physician?
A) Blood pressure of 140/90 mm Hg B) Crackles in the lung bases C) Client complains of pain in the affected rib area when taking a deep breath D) Heart rate of 94 beats/minute
The nurse is planning to assess the amount of pain that a 15-year-old child is experiencing after a motor vehicle crash. Which pain scale should the nurse use to measure this patient's pain?
A) CRIES B) FACES C) Adolescent Pediatric Pain Tool D) The COMFORT Behavior Scale
When assessing with Maslow's Hierarchy of Need, the nurse knows that self-actualization can only occur if:
1. All the other levels have been met. 2. The first stage of the needs chart is met. 3. Parental involvement is present. 4. The child has a certain level of self-esteem.
The nurse instructs on the importance of niacin during a preconception counseling class. Which food item selected by a participant indicates that teaching about the sources of niacin has been effective?
1. Fish 2. Milk 3. Apples 4. Broccoli