A patient with a head injury is being monitored with an intracranial pressure monitor. What nursing assessment best indicates intracranial hypertension?
A) Intracranial pressure 8 mm Hg
B) Glasgow Coma Scale score 3
C) Intracranial pressure 25 mm Hg
D) Glasgow Coma Scale score 15
C
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The nurse is caring for a patient who is admitted with a serum sodium level of 120 mEq/L. Which is the most important intervention for the nurse to perform?
a. Perform regular neurologic checks and institute seizure precautions. b. Encourage the patient to eat foods that are high in sodium. c. Administer hypotonic IV solutions as ordered by the physician. d. Assess for signs and symptoms of digoxin (Lanoxin) toxicity.
Mrs. Jones is admitted to the medical-surgical unit with acute shortness of breath and substernal chest pain that she has experienced for several days
The nurse asks her why she did not contact her primary care provider sooner and she responded, "The website that I checked said that I had an allergy." What is the best response to Mrs. Jones? 1. "You are right. The information on the Internet is fairly accurate." 2. "Mrs. Jones, not all websites are accurate and you should check to make sure they were created by a reputable source." 3. "The Internet has a great deal of accurate information." 4. "Why would you check the Internet first?"
The nurse understands which of the following drugs should not be used to treat nasal congestion in a 5-year-old client?
a. oxymetazoline HCl c. pseudoephedrine HCl b. chlorpheniramine d. meclizine HCl
A patient with carotid atherosclerosis asks the nurse to describe a carotid endarterectomy. Which response by the nurse is accurate?
a. "The obstructing plaque is surgically removed from an artery in the neck." b. "The diseased portion of the artery in the brain is replaced with a synthetic graft." c. "A wire is threaded through an artery in the leg to the clots in the carotid artery and the clots are removed." d. "A catheter with a deflated balloon is positioned at the narrow area, and the balloon is inflated to flatten the plaque."