What should be immediately reported by the nurse caring for a 90-year-old patient with a closed head injury?
a. Blood pressure change from 147/72 to 176/70 mm Hg
b. Respiration rate increase from 14 to 18 breaths/min
c. Slow pupillary reaction bilaterally
d. Temperature decrease from 100.2° F to 97.6° F
A
The widening pulse pressure is an indicator of increased ICP. Respirations and temperature are returning to more normal levels. Older adults have a slowed pupillary response as they age.
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You are the case manager for a 35-year-old man being seen at a primary care clinic for chronic low back pain
When you meet with the patient, he says that he is having problems at work; in the past year he has been absent from work about once every 2 weeks, is short-tempered with other workers, feels tired all the time, and is worried about losing his job. You are developing this patient's plan of care. On what should the goals for the plan of care focus? A) Increase the patient's pain tolerance in order to achieve psychosocial benefits. B) Decrease the patient's need to work and increase his sleep to 8 hours per night. C) Evaluate other work options to decrease the risk of depression and ineffective coping. D) Decrease the time lost from work to increase the quality of interpersonal relationships and decrease anxiety.
The IOM identified five Core Competencies for health professionals. As the RN you identify and plan to develop all of the following identified competencies EXCEPT:
A) Implement quality and safety initiatives B) Employ evidence-based practice C) Work in interdisciplinary teams D) Utilize informatics
A client with a critical illness is prescribed parenteral nutrition. Which action should the nurse take when caring for this client?
a. Decrease the amount of infusion slowly based on the oral intake of the client b. Stop the infusion in the morning and resume oral feeding beginning with clear liquids c. Follow the facility protocol for tapering the solution, especially monitoring blood glucose levels d. Follow the facility protocol for tapering the infusion and monitor the input and output for the client each shift
A type of connective tissue cancer common among those with AIDS is __________
Fill in the blank(s) with correct word