The nurse uses a visual aid to demonstrate how a coup-contrecoup injures the brain. Which information should the nurse include? (Select all that apply.)
a. These injuries allow the brain to twist on the brainstem.
b. These injuries cause the brain to move forward to strike the anterior interior skull.
c. These injuries allow the brain to compress on itself.
d. These injuries cause the brain to strike the bony area opposite of the site of impact.
e. These injuries cause the brain to lose small amounts of cerebrospinal fluid.
B, D
In a coup-contrecoup injury, the brain moves forward, striking the anterior interior wall of the cranium, and moves back, striking the bony area opposite the site of the impact, causing two areas of injury.
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The practicing nurse explains that complementary and alternative medicine
1. Is being used by more people than ever 2. Is regulated closely by the FDA 3. Has many limitations on labeling 4. Is a recent discovery 5.
The nursing is performing an otoscopic examination on an adult client and is unable to visualize the tympanic membrane. Which action by the nurse is appropriate in this situation?
1. Pull the pinna up and back, then reinsert the otoscope. 2. Tell the client to move away from the speculum if they experience any pain as the otoscope is advanced. 3. Reinsert the otoscope quickly and press against both sides of the inner auditory canal. 4. Pull the pinna down and back, then reinsert the otoscope.
A patient is diagnosed with hypokalemia. After reviewing the patient's current medications, which drug should the nurse consider that might have contributed to the patient's health problem?
1. corticosteroid 2. thiazide diuretic 3. narcotic 4. muscle relaxer
The nurse is caring for a patient with a cardiac history. Which of the following actions should the nurse take when administering diltiazem (Cardizem)? (Select all that apply.)
a. Obtain apical pulse and blood pressure before giving medication. b. Monitor for development of a round face. c. Notify physician if blood pressure is less than 90 mm Hg systolic. d. Monitor liver and renal functions during therapy. e. Monitor for constipation. f. Notify physician if heart rate is less than 50 beats per minute.