The nurse is caring for a client with a diagnosed head injury who has an ICP transducer system to monitor the client's intracranial pressure. Which sign on the ICP monitor indicates that the client's condition is worsening?
A. Narrow amplitude waveform
B. Appearance of plateau waveforms
C. Increased ICP for 2 minutes
D. ICP pressure of 4-20
Answer: B
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A nurse performing an admission assessment on a patient with suspected tuberculosis knows that assessment findings consistent with tuberculosis include:
a. hemoptysis. b. weight gain. c. night terrors. d. hypothermia.
The nurse working in the newborn nursery understands that a newborn has differences in sleeping patterns than an older child or an adult. Which sleep pattern is not expected during the newborn period?
A) An irregular sleep schedule, sleeping 16-18 hours a day. B) NREM sleep is characterized by regular respirations, closed eyes, and the absence of body and eye movements. C) REM sleep occurs gradually. D) NREM sleep is also called quiet sleep during the newborn period.
Which individual would be at the highest risk for drug noncompliance?
a. A 2-year-old in a day care center b. A 10-year-old receiving antibiotics for an ear infection c. A 65-year-old on a fixed income taking multiple medications d. A 95-year-old in a long-term care facility taking multiple medications
The client refused to learn about new medications because the client had an adverse reaction to medication in the past. Which should the nurse implement next?
1. Tell client one bad experience is meaningless. 2. Gather more data about the medication reaction. 3. Notify the provider about the medication reaction. 4. Explain how the client is jeopardizing future health.