The patient has been admitted to critical care after a blow to the head. During assessment, the nurse notices bilateral periorbital edema and bruising or "raccoon's eyes." What is the highest-priority nursing action?
A) Protect airway and cervical spine
B) Maintain in Trendelenburg position
C) Increase frequency of verbal stimulation
D) Overhydrate with intravenous fluids
A
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The nurse is providing care for a patient with shingles. Which of the following statements would the nurse include in the patient teaching?
a. "Shingles is caused by herpes simplex 1 virus." b. "Herpes zoster is a virus that is common in the elderly." c. "Herpes simplex 2 causes shingles." d. "Varicella zoster is the virus responsible for shingles."
Qualitative data are most likely to be collected in a(n):
A) Impact analysis B) Outcome analysis C) Process analysis D) Economic analysis
What is essential to ensure adequate fetal brain development?
a. Iron and folate b. Fats and carbohydrates c. Water-soluble and fat-soluble vitamins d. Calcium and electrolytes
When evaluating the effects of PCA, the nurse notes that the patient is sedated and is difficult to arouse. What step should the nurse take next?
a. Insert an airway. b. Turn patient to the side. c. Stop the PCA. d. Expect this as a patient outcome of the therapy.