A patient who sustained a head injury is to be monitored for changes in neurological status. The earliest and most important indicator of change in neurological status would be
1. decrease in the level of consciousness.
2. increased size of pupils.
3. presence of abnormal postures.
4. change in the vital signs.
1
Rationale: The level of consciousness is the most important indicator of neurological function in the high-acuity patient. The other answer choices may also occur, but these would occur later as neurological functioning deteriorates.
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The nurse instructs the patient in home wound irrigation to hold the hand-held showerhead approximately ______ inches from the wound
a. 2.5 b. 6 c. 12 d. 18
A nurse on the pediatric unit contemplates the changes in healthcare insurance for 2014 when speaking with other colleagues. Which aspects of the Affordable Care Act (ACA) affect children favorably? Select all that apply
A) Insurance companies cannot deny coverage based on preexisting conditions. B) Insurance companies cannot drop children who have serious illnesses. C) Benefits are paid through private benefactors. D) All children are covered regardless of whether the parents are covered. E) The government must make appropriate arrangements for children of laypeople.
While being interviewed, a client admits to the nurse that she has been hearing voices and sounds for the past three days. Which of the following would be the nurse's best response in this situation?
1. "How long have you been hearing these voices?" 2. "Tell me about what the voices tell you to do." 3. "These must be other things you are hearing." 4. "Do the voices bother you during the night only?"
Defend or refute: Authentic leadership and ethical leadership are basically the same
What will be an ideal response?