The nurse has been assigned to care for a child who has been admitted with a head injury. In doing neurologic checks on this child, an assessment tool using the Glasgow coma scale is used
The most important reason for the nurse to use a neurologic assessment tool is for the nurse to be able to:
A) look back at the patient's neurologic status the last time the nurse cared for this patient.
B) create reports based on using a consistent tool.
C) have a comparison of the child's status from one check to another.
D) report to the oncoming nurse any significant changes.
C
You might also like to view...
A patient arrives in the ICU following open-heart surgery. The patient is recovering from general anesthesia and is receiving supplemental oxygen. The nurse learns from the anesthesia provider's report that the patient lost much blood during the surgery. The nurse knows as well that the patient had fasted before the surgery, per standard procedures. Which complication is this patient most likely to experience following surgery?
A) Hypothermia B) Hypoventilation C) Hypotension D) Hypoxemia
The nurse is interviewing a primigravida client who is 17 weeks pregnant. During the data collection the client reports she has not felt the baby move yet. The most appropriate response by the nurse would be:
1. "We will listen for the heartbeat today.". 2. "You need an ultrasound.". 3. "Fetal movement does not occur until the 18th week.". 4. "Do you have reason to believe your baby is not ok?"
With which client should the nurse be most alert for the development of overhydration?
A. 65-year-old client who has diabetes mellitus and chronic hypertension B. 45-year-old client who self-medicates with sodium-containing antacids for indi-gestion C. 75-year-old client receiving blood replacement therapy with 3 units of packed red blood cells D. 80-year-old client 1 day postoperative from abdominal surgery who has an NG tube to continuous suction
Identify the type of impulse that sensory nerves carry to the brain.
A. Touch B. Pain C. Heat and cold D. All of the above