A pt with a medical dx of ruptured cerebral aneurysm exhibits these symptoms: .... and flexion to pain (decorticate posturing). What score on the GCS should the nurse document?
a. 13
b. 9
c. 5
d. 3
Ans: c. 5
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Diphenhyrdramine (Benadryl) is not recommended for use in older adults because of:
a. confusion and severe anticholinergic effects b. risk of seizures c. prolonged half life d. dosage problems
A client has been taught to restrict dietary sodium. Which food selection by the client indicates to the nurse that teaching has been effective?
a. Chinese take-out, including steamed rice b. A grilled cheese sandwich with tomato soup c. Slices of ham and cheese on whole grain crackers d. A chicken leg, one slice of bread with butter, and steamed carrots
Which organs have both an excretion function and function as endocrine glands?
a. Kidney and liver b. Liver and gallbladder c. Pancreas and kidney d. Gallbladder and pancreas
A nurse manager is evaluating staff members for the strength of their professional identity and ability to contribute to the profession into the future. Which nurse best demonstrates these qualities?
a. Consistently incorporates knowledge, judgment, and ethics into everyday situations b. Provides information on the latest research findings related to patient populations c. Serves as the research "champion" on the hospital unit–based council structure d. Uses evidence-based practice consistently when working with patients