A 69-year-old patient is brought to the emergency department by ambulance because a family member found him lying on the floor disoriented and lethargic
The physician suspects bacterial meningitis and admits the patient to the ICU. A family member asks the nurse caring for the patient what the prognosis is. The nurse knows that risk factors for an unfavorable outcome include what? (Mark all that apply.)
A) Blood pressure greater than 140 systolic and 90 diastolic
B) Heart rate greater than 120 bpm
C) Older age
D) Low GCS
E) Intact cranial nerves
Ans: B, C, D
Feedback: Risks for an unfavorable outcome of meningitis include older age, a heart rate of greater than 120 beats per minute, low Glasgow Coma Scale score, cranial nerve palsies, and a positive Gram stain 1 hour after presentation to the hospital. A blood pressure greater than 140/90 is indicative of hypertension.
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The nurse is caring for a patient diagnosed with hyperparathyroidism who asks the nurse why parathyroid hormone (PTH) is important. The nurse explains that PTH performs what actions in the body? (Select all that apply.)
A) Stimulation of osteoclasts B) Increased intestinal absorption of calcium C) Stimulation of calcitriol production D) Increased excretion of calcium from kidneys E) Decreased retention of vitamin D
A patient is prescribed 500 mg of amoxicillin (Amoxil). The amoxicillin on hand is . How many milliliters does the nurse administer for this patient?
a. 10 b. 25 c. 50 d. 100
Which will protect the person's right to privacy during an emergency?
a. Discussing the situation with onlookers b. Failing to keep onlookers away to the ex-tent possible c. Exposing the person unnecessarily d. Keeping the person's information confi-dential
A family is referred to the home care psychiatric nurse because of repeated arrests of their teenage son for dealing drugs. The family consists of the parents and their children: Joe, age 15, and Maryann, age 10
During the nurse's first home visit, the family reported many concerns stemming from family members' impulsive spending habits. During the visit, there were several arguments between the parents. Joe (the 15-year-old son) left the meeting abruptly. Maryann (the 10-year-old daughter) constantly interrupted when other members of the family were speaking. There was little concern or discussion about the teenage son's potential jail term. The nurse assessed that the family has which of the following levels of differentiation? a. low b. medium c. moderate d. high