The nurse is performing a rapid neurologic assessment on a trauma client. Which assessment finding is normal?
A. Decerebrate posturing
B. Increased lethargy
C. Minimal response to stimulation
D. Constriction of pupils
Ans: D. Constriction of pupils
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Which of the following sounds may be difficult for an older person to hear?
a. Telephone ringing c. Car horn honking b. Clothes dryer running d. Child crying
The nurse is providing care to a client who is experiencing nausea and vomiting during the first trimester of pregnancy. Which actions by the nurse are appropriate based on this data? Select all that apply
A) Notify the healthcare provider that the client is experiencing hyperemesis gravidarum. B) Educate the client to notify the healthcare provider if she vomits once per day C) Suggest the client use acupressure to pressure points on the wrist D) Teach the client that ginger may relieve her symptoms E) Caution the client against using over-the-counter medications such as over-the-counter antihistamines
Which of these is not included on an MAR?
A. Full name and DOB of the patient B. Administration times C. Full name of the AP D. Full name of the drug, dose, route, and frequency
An older adult client has hypothyroidism. Which assessment finding would the nurse report to the physician immediately?
1. Dry skin 2. Generalized weakness 3. Muscle cramps 4. Slurred speech