A 14-year-old boy has suffered a concussion during a hockey game. The nurse teaches family members who will be attending to the boy to contact the physician or return to the emergency department if the boy:
A) Complains of headache
B) Complains of a decrease in appetite
C) Sleeps for short periods of time
D) Vomits
Ans: D
Feedback: Vomiting is a sign of increasing intracranial pressure (ICP) and should be reported immediately.
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What intervention will the nurse caring for a child in Buck's skin traction implement?
a. Position in high Fowler's position. b. Assist the child to be pulled up in bed. c. Keep child's heel on the bed surface. d. Maintain child's feet against the foot of the bed.
A patient is admitted to the hospital with pernicious anemia. The nurse should prepare to administer which of the following medications?
A) Folic acid B) Vitamin B12 C) Lactulose D) Magnesium sulfate
The nurse is providing infection control teaching to a group of patients. The patient statement that best demonstrates understanding of the teaching provided is:
a. "I should take an antibiotic at the first sign of an infection." b. "Hand hygiene is one of the most effec-tive ways I can prevent the spread of in-fection." c. "Vaccinations only prevent a disease from becoming severe." d. "If I eat a nutritious diet, it will be diffi-cult for me to get an infection."
While you are providing daily hygiene and grooming care for patients, you should
A. Perform all of the care, so they can save their energy. B. Observe their skin condition, mouth, scalp, hair, and nails. C. Talk about your family problems with them. D. Clip their fingernails and toenails each day after the bath.