The nurse has just received change-of-shift report about a group of clients on the neurosurgical unit. Which client will the nurse attend to first?
A. Young adult post-motor vehicle accident client who is yelling obscenities at the nursing staff
B. Adult postoperative left craniotomy client whose hand grips are weaker on the right
C. Middle-aged adult post-cerebral aneurysm clipping client who is increasingly stuporous
D. Older adult-old post-carotid endarterectomy client who is unable to state the day of the week
Ans: C. Middle-aged adult post-cerebral aneurysm clipping client who is increasingly stuporous
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A nurse is caring for a pregnant client receiving oxytocin. The client is in the third stage of labor. The nurse would expect to administer oxytocin by which route?
A) Intravenous B) Intramuscular C) Subcutaneous D) Intranasal
During the examination of the male testes, the nurse should instruct the client on:
1. the importance of having an annual prostate examination. 2. monthly testicular self-examinations. 3. why a colonoscopy is important every 10 years after the age of 50. 4. how a condom prevents the spread of sexually transmitted infections.
A patient experiences severe tissue damage after receiving an intravenous injection of a chemotherapy agent. This is most likely a result of:
A. problems with renal tubular reabsorption. B. overdose of kanamycin. C. extravasation of doxorubicin. D. compromised liver function.
A nurse performing a physical examination is assessing the client for costovertebral angle tenderness. When the nurse percusses the area, the client complains of sharp pain. The nurse interprets this finding as most indicative of:
A. Liver enlargement B. Ovarian infection C. Spleen enlargement D. Kidney inflammation