Which assessment noted in an infant 1 day after placement of a ventriculoperitoneal shunt is indicative of surgical complications?
a. Hypoactive bowel sounds
b. Congestion in upper airways
c. Increasing lethargy
d. Mild incisional pain
C
A decreasing level of consciousness indicates a problem with shunt function and should be reported immediately to the neurosurgeon. Peristalsis is depressed during surgery. Hypoactive bowel sounds may be evident after surgery as peristalsis returns to its preoperative function. Congestion in the upper airways may be evident after surgery. Mild incisional pain is a normal finding in the postoperative period.
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During an assessment, the nurse identifies that the client is having problems learning from the past, difficulty dressing self, and cannot recognize written words
What brain structure dysfunction is exhibited by the client's inability to recognize written words? 1. Frontal lobe dysfunction 2. Temporal lobe dysfunction 3. Parietal lobe dysfunction 4. Occipital lobe dysfunction
The nurse is concerned that a client is experiencing symptoms of Parkinson disease. Which assessment findings would indicate the client might have idiopathic or primary Parkinson disease?
1. Tremors and bradykinesia 2. Ocular diplopia and ptosis 3. Progression and severity of fatigue 4. Spasticity and paresis
A patient comes to the ED with anterior chest pain described as a "tearing" sensation. The patient is diaphoretic, nauseated, faint, apprehensive, and blood pressure is 200/130 mm Hg. Which medication is most likely to be ordered for this patient?
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The mother of a 5-year-old girl who shows clinging behavior and who becomes anxious when not with either parent asks how to help the child relax enough to go to sleep without staying beside the child's bed
The nurse could suggest that the mother do which of the following? A) Leave the door open so the child can hear the parents' voices while going to sleep. B) Set limits by insisting the child go to sleep and closing the door. C) Allow the child to fall asleep in the parents' bed, then carry her to her own bed after falling asleep. D) Teach her child to perform relaxation techniques.