What is the likely cause in J.R’s neurologic status ?
a. Increased peri-cranial pressure from infection.
b. Increased para-cranial pressure from spinal fluid.
c. Increased intracranial pressure from bleeding.
d. None of the above.
c. Increased intracranial pressure from bleeding.
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The nurse is working on a surgical unit, and overhears another nurse say, "That client is asking for pain medication again. He is constantly on the call bell, always reporting how severe his pain is, and I think he's just drug-seeking
I'm going to make him wait the full 4 hours before I give this medication again." Which action by the nurse is the most appropriate in this situation? 1. Ignoring the situation because the client in question is not this nurse's responsibility 2. Entering the nurses' station, reprimanding the nurse, and completing an incident or variance report 3. Pulling the second nurse aside and providing a reminder that the sensation of pain is subjective, and that professionals have a duty to believe clients' reports of their symptoms 4. Informing the charge nurse of what was overheard
During a well-child visit, the nurse identifies that an 18-month-old infant is bowlegged. She is aware that this assessment is
a. Common in children with nutritional deficiencies b. Common in infants and toddlers c. A serious condition needing further evaluation d. An indication of neurologic impairment
A client has folic acid deficiency anemia. Which information in the nursing history would be of concern to the nurse? The client
a. cooks in cast iron skillets. b. does not like to eat fish. c. has one alcoholic drink a week. d. takes metformin.
The patient with sleep apnea is fitted with a continuous positive airway pressure (CPAP) mask and asks the nurse how this device will help. How should the nurse respond?
a. "The device delivers constant positive pressure to keep your airway open." b. "The device will require you to be intu-bated to open your airway." c. "The device delivers oxygen only when you are apneic." d. "The device delivers negative pressure to stimulate your respirations."