A patient is in the emergency department following a head injury. What should the nurse realize as being the most accurate sign of developing increased intracranial pressure (IICP)?
A. Elevated diastolic blood pressure
B. Pupils are equal
C. Decreasing level of consciousness
D. Decreasing respiratory rate
Answer: C
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The nurse is documenting the assessment of an infant. During the abdominal assessment, the nurse noticed a very loud splash auscultated over the upper abdomen when the nurse rocked her from side to side. This finding would indicate:
a. Epigastric hernia. b. Pyloric obstruction. c. Hypoactive bowel sounds. d. Hyperactive bowel sounds.
Which of the following signs is most indicative of prostate cancer in a 75 year old male?
a. PSA of 12 ng/ml b. hard, nodular lump on physical palpation through rectal exam c. blood in the urine d. all of the above may be signs of prostate cancer
If the nurse notes a soft swollen area on the newborn infant's scalp that extends over the suture lines, she should:
A. apply an ice pack and reassess every hour. B. document caput succedaneum; no action is necessary. C. notify the health care provider that the infant may have a cephalhematoma. D. explain to the mother that the skull has been molded to pass through the birth canal.
Two nurses are talking about the number of patients that are admitted to the hospital each week due to falls in the home
They decide to partner up with the local senior center to design a community program aimed at reducing falls in the senior population. Which of the following interventions would likely be most effective? A. Create printed material that the seniors can take home and use to assess their home. B. Train volunteers to go into the homes of seniors at high risk for falls to assess their homes and help improve the home environment. C. Provide an exercise program in the community center to increase agility and balance. D. Pair up seniors at high risk with a volunteer caretaker who can help with chores and running errands.