During the examination of an unconscious patient, the nurse notices that the patient's pupils are fixed and dilated. What is the clinical significance of the nurse's finding?
A) It suggests onset of metabolic problems.
B) It indicates paralysis on the right side of the body.
C) It indicates paralysis of cranial nerve X.
D) It indicates an injury at the midbrain level.
Ans: D
Feedback: Pupils that are fixed and dilated indicate injury at the midbrain level.
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The nurse is caring for a 2-year-old boy with hemophilia. His parents are upset by the possibility of their child becoming infected with hepatitis or HIV through the administration of the clotting factors for replacing factor VIII
How should the nurse respond? A) "It is common that parents fear the worst; however, the factor will help your child lead a normal life." B) "There are risks with any treatment using blood products, but they are very minor." C) "Factor replacement is very expensive and bleeding episodes can cause you to miss work, creating a financial strain." D) "Since heat treatment began in 1986, there have been no reports of virus transmission."
Standard crutches are commonly recommended for older adults.
Answer the following statement true (T) or false (F)
J.B.'s daughter visits him in the hospital, and they have a long talk. she is shocked when she realizes that her father is lonely to the point of considering suicide and
tells you that she will do all she can to help him when he goes home. What important information needs to be conveyed to J.B.'s daughter about the first few weeks of therapy with the SSRI?
Identify actions that a critical care nurse can take to decrease stressors at work. (Select all that apply.)
a. Request temporary assignments in a less stressful setting. b. Use self-reflection when feeling overwhelmed. c. Maintain good physical health. d. Ignore feelings of frustration and anger. e. Use stress management techniques.