The nurse is caring for a client admitted to the intensive care unit after incurring a basilar skull fracture. Which complication of this injury does the nurse monitor for?
a. Aspiration
b. Hemorrhage
c. Pulmonary embolus
d. Myocardial infarction
B
This type of fracture may cause hemorrhage from damage to the internal carotid artery. The other problems are not complications of this injury.
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A patient with stage 2 Alzheimer disease becomes very agitated in the evenings. What would be an appropriate nursing intervention for the nurse to use for this patient?
1. playing soft music in the patient's room 2. use of anti-anxiety medications or tranquilizers 3. moving the patient to an area of activity to provide distraction 4. recommending the patient be moved to a more secure environment
What are the two factors that drive growth and development?
A) Nutrition and exercise B) Environment and fertility C) Healthcare and perception D) Genetics and environment
A nurse is D/C a peripherally inserted venous (PIV) line. She removes the tape and withdraws the catheter, noting that the catheter is jagged at the end. Which of the following complications has occured?
A. infiltration B. toxicity caused by a vesicant C. air embolism D. catheter breakage
Which statement is true regarding the patient who has given consent for a surgical procedure?
a. Information necessary to understand the nature of and reason for the surgery has been provided b. The length of stay in the hospital has been preapproved by the managed care provider c. Information about the surgeons experience has been provided d. The nurse has provided detailed information about the surgical procedure