The nurse is caring for a patient who had a hemorrhagic stroke. Close monitoring of vital signs and neurological changes is imperative. What is the earliest sign of deterioration in a patient with a hemorrhagic stroke?
A) Headache
B) Alteration in level of consciousness
C) Tonic-clonic seizures
D) Shortness of breath
Ans: B
Feedback: Alteration in the level of consciousness is the earliest sign of deterioration in a patient
with a hemorrhagic stroke; this includes mild drowsiness, slight slurring of speech, and sluggish papillary reaction.
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The nurse is performing a urinary system assessment and wishes to percuss at the right costovertebral angle. When assessing this location on the client, which area of the kidney is assessed?
1. A. 2. B. 3. C. 4. D.
A nurse is describing Standard Precautions to a group of nursing students. Which are practices associated with Standard Precautions in the care of clients?
1 . Maintenance of the client's personal immunizations 2 . Thorough handwashing with soap and water and antibacterial solution 3 . Wearing gloves and other protective equipment as needed 4 . Handling of all sharps safely A) 1, 2 B) 1, 4 C) 2, 3 D) 3, 4
Culture enforces ____________________ based on the values and beliefs of the group.
Fill in the blank(s) with the appropriate word(s).
A client is pregnant for the third time. In regard to her nutritional status, which of the following applies?
a. The client should be given rigid recommendations about weight gain. b. The client should approximately double her protein intake. c. The client should increase her vitamin A and milk-product consumption. d. The client should eat a variety of foods from the four food groups.