A patient with a suspected skull fracture is observed to have "raccoon eyes," or bilateral periorbital bruising. What other symptom does the nurse expect?
A) Positive Battle's sign
B) Cerebrospinal fluid rhinorrhea
C) Cerebrospinal fluid otorrhea
D) Maxillary–cranial separation
B
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The patient who suffered a CVA has developed agnosia. Which intervention by the nurse is most helpful?
a. Telling the patient "This is a spoon. You are to eat with it." b. Moving the patient's hand with a tooth-brush in repetitive motion to brush teeth c. Telling the patient "The table edge is right in front of you." d. Providing an adaptive fork to enhance self-feeding
The nurse is reviewing the anatomy of the heart with a patient scheduled for a cardiac catheterization. What should the nurse explain as the primary factor that regulates blood flow through the coronary arteries?
1. blood pressure in the aorta 2. blood vessel dilation 3. low-pressure systemic circulation 4. draining of blood into the coronary sinus by the coronary veins
The nurse assesses a patient who is receiving morphine sulfate intravenously using a patient-controlled analgesia pump. The nurse notes somnolence and respiratory depression, which are signs of morphine toxicity
The nurse will prepare to administer naloxone (Narcan) because it a. has synergistic effects with morphine. b. is a narcotic agonist. c. is a narcotic antagonist. d. potentiates narcotic effects.
Who is responsible for providing immunizations and direct care services?
a. The U.S. Department of Health and Human Services b. The Centers for Disease Control and Prevention c. The local health department d. The state health department