The nurse, assessing a patient with a Glasgow Coma Score of 4, finds the patient's pupils to be pinpoint and nonreactive to light. The nurse takes into consideration that this finding can be due to which situations?
1. The patient was given atropine sulfate for bradycardia.
2. The patient has increased blood glucose.
3. The patient may have taken an opioid drug overdose.
4. The patient has sustained compression of the oculomotor nerve.
5. The patient has sustained damage to the pons.
3, 5
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Physiological, safety and security needs are characteristics of data clusters used in
1. Body Systems Model 2. Maslow's Hierarchy of Needs 3. Wellness Model 4. Neuman's System Model 5.
An elderly man is admitted to the hospital for surgery. A day later, he seems confused and disoriented. He imagines there is a trapdoor in the ceiling above his bed
His wife panics, telling a nurse that several of her husband's relatives have had Alzheimer's disease but that until now he has seemed "sharp as a tack.". What should the nurse do first? A) Control environmental temperatures and noises. B) Check the patient's chart for medications that can cause delirium. C) Have the patient evaluated for Alzheimer's disease. D) Tell the wife there is nothing to worry about.
The patient suspected of having bulimia should be assessed for the classic behavior of this disorder, which is:
a. bingeing and purging. b. refusal to eat. c. excessive exercising. d. hiding food to make it appear it was eaten.
The health care provider instructs the parents of a toddler with allergies to avoid secondary smoke. What teaching should the nurse provide to assist these parents? (Select all that apply.)
A) Frequent smoke-free establishments. B) Declare the home and car smoke-free zones. C) Spray air freshener in the room after smoking. D) Ask individuals who smoke to smoke out of doors. E) Encourage family and friends to begin quit-smoking programs.