A 5-year-old patient has increased intracranial pressure following a fall from her bike. The nurse caring for the client in the intensive care unit recognizes the signs of Cushing Triad in her patient, including:
Select all answers that apply.
A) pyrexia.
B) tachycardia.
C) irregular respirations.
C
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A patient is at the clinic to have her blood pressure checked. She has been coming to the clinic weekly since she changed medications 2 months ago. The nurse should:
a. Collect a follow-up data base and then check her blood pressure. b. Ask her to read her health record and indicate any changes since her last visit. c. Check only her blood pressure because her complete health history was documented 2 months ago. d. Obtain a complete health history before checking her blood pressure because much of her history information may have changed.
The nurse who is caring for a client prescribed diuretics and fluid restriction to control edema can most easily evaluate the effectiveness of the medical protocol by
a. calculating plasma osmolality. b. careful weight assessment. c. checking the lab report on serum sodium level. d. measuring the ankle circumference.
Which mode of chemical signaling uses blood to transport communication to cells some distance away?
a. Paracrine b. Autocrine c. Neurotransmitter d. Hormonal
Which of the following would be an inappropriate action for a healthcare worker to do when caring for a patient undergoing chemotherapy?
A. Instruct the patient to avoid large crowds. B. Instruct the patient on the principles of good hand-washing techniques. C. Monitor the patient's temperature and report, if elevated. D. Administer an analgesic for fever.