The older adult who is admitted to the hospital following a closed head injury that resulted in a 5-minute period of unconsciousness will be observed for which change?
a. Increasing respiratory rate
b. Decreasing heart rate
c. Decreasing pulse pressure
d. Decreasing level of consciousness (LOC)
D
Assessment of level of consciousness provides the greatest amount of information about neuro-logic condition. A reduction in level of consciousness may signal the onset of complications in the patient who has had a head injury.
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A group of nursing students are reviewing the stages of AD. They demonstrate understanding of the information when they identify which of the following as characteristic of preclinical AD?
A) Client's changes in thinking are readily evident to family members. B) The client may exhibit moderate levels of anxiety. C) The ability to function is significantly limited. D) There are no cognitive changes noted.
Persons with which type of blood are considered universal donors?
a. A c. AB b. B d. O
A cheeselike, whitish substance that fuses with the epidermis and serves as a protective coating is the:
1. vernix caseosa. 2. surfactant. 3. caput succedaneum. 4. acrocyanosis.
The nurse is assessing the environment of a patient who was recently discharged from the hospital. Which finding would require the nurse to intervene?
1) Use of nightlights in the hallways and bathroom 2) Grab bars installed near the toilet and in the bathtub 3) Extension cords in the hallway to the kitchen 4) Stairway is clear of clutter