What is the most sensitive indicator of increased intracranial pressure and the first symptom to change as the pressure rises?

A. Dilation of the pupil
B. Hyperventilation
C. Altered mental status
D. Development of focal neurological signs such as hemiparesis


Answer: C. Altered mental status

Nursing

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A nurse is informing a nursing student about the Centers for Disease Control and

Prevention (CDC). Which guideline is in compliance with the CDC guidelines for handwashing? A) When hands are visibly soiled B) Only after removing gloves C) Washing hands for 5 seconds. D) Only when initiating contact with another client after giving care.

Nursing

The client states to the nurse, "My healthcare provider says I have heart disease and I need to decrease the cholesterol in my diet. I don't understand how this happened." Which response should the nurse provide the client?

A. "The arteries around your heart are narrowed by low density lipoprotein (LDL) cholesterol buildup in them." B. "Low density lipoprotein (LDL) cholesterol is converted to saturated fat, which is stored in your coronary arteries." C. "It is a good idea to decrease low density lipoprotein (LDL) cholesterol in your diet, although current research has not proven a correlation yet." D. "Too much low density lipoprotein (LDL) cholesterol narrows all the arteries in your body so your heart does not receive enough blood to be healthy."

Nursing

When developing cultural competence a nurse should develop four practices, which are ____________________

Fill in the blank(s) with correct word

Nursing

A child with a brain tumor is undergoing radiation therapy. The nurse should include which information in the discharge instructions to the child's parents? Select all that apply

a. Apply over-the-counter creams to the area daily. b. Avoid excessive skin exposure to the sun. c. Use a washcloth when cleaning the area receiving radiation. d. Plan for adequate rest periods for the child. e. A darkening of the skin receiving radiation is expected.

Nursing