While waiting for the physician to arrive, you find that J.R. has become unresponsive to verbal stimuli
the right pupil is larger than the left and does not respond to light.
J.R. responds to painful stimuli in the
manner shown in the illustration.
What is this response called and what does it signify?
J.R. has decerebrate posturing or abnormal extension, characterized by abnormally extending his
extremities to painful stimuli. This posturing signifies increased intracranial pressure.
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Calling Mrs. Carrol "dearie" is
a. Patronizing b. An example of empathy c. A hindrance to effective communication d. Both A and C
The client tells the nurse, "I had surgery four days ago, and my dressing has never been changed." What is the nurse's priority intervention?
1. Change the dressing immediately. 2. Consult the physician. 3. Call the nursing supervisor and complete an incident report. 4. Consult the medical record and review the physician's orders.
When applying EMLA cream, you should:
1. Rub the EMLA into the skin until it is absorbed. 2. Place on the skin and quickly remove. 3. Leave the EMLA on for 24 hours before the procedure. 4. Apply a large glob and cover with an occlusive dressing.
A mother was preparing a birthday dinner for her college son who was to return home for the celebration
On the way home he was killed in an automobile crash. Family and friends rushed to the home to offer support to the mother. Which of these persons, through an intended act of kindness, may contribute to prolonging the mother's grief? 1. The physician who prescribed antianxiety agents to dull the pain 2. The nurse who offered to spend the night at her home 3. The next-door teenager who provided care for the son's two puppies 4. The accountant who assisted with financial affairs