A client was hit in the forehead by a fast-pitched softball 4 hours earlier in the day. Which clinical manifestations alert the nurse to the possibility of increased intracranial pressure?
A. Lump at the site of injury
B. Unilateral ptosis
C. Papilledema
D. Headache
C
Papilledema is associated with increased intracranial pressure.
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Which task can the clinical nurse leader who is creating the work assignment give to either a basic
level or an advanced level psychiatric mental health nurse? a. Responding to "telehealth" calls b. Providing psychotherapy for a new client c. Performing clinical supervisory activities with a new nurse d. Meeting with community leaders to expand advocacy for residents of a group home for persistently mentally ill clients
Which of the following best defines the term traumatic injury?
a. All trauma patients can be successfully rehabilitated. b. Traumatic injuries cause more deaths than heart disease and cancer. c. Alcohol consumption, drug abuse, or other substance abuse contribute to traumatic events. d. Trauma mainly affects the older adult population.
As you are attending to your patient's hypotension waiting for the anaesthetist to arrive, you note that her heart rate has fallen to 46 bpm. What should you do now? Provide rationales for you answer
Mrs Lucia Caruso is a 31-year-old woman who has been admitted into the postanaesthesia care unit (PACU) following a dilation and curette after having had an incomplete missed abortion (miscarriage). On arrival, Mrs Caruso has a size 3 laryngeal mask airway (LMA) in situ, and is unconscious and in a supine position. A disposable t-piece and oxygen, 6 litres per minute, are connected to the LMA and monitoring is connected. You accept a full handover from the anaesthetist, who reports a fit and healthy patient and an uneventful procedure. An IV line is in situ in the back of the patient's left hand with a litre of Hartmann's solution running at an 8-hourly rate. You make your initial assessment and document the patient's vital signs as follows: airway clear, oxygen saturation 99%, respiratory rate 18 per minute, BP 130/90 mmHg (preoperative 120/80 mmHg) and heart rate regular at 74 bpm. Five minutes after arrival, Mrs Caruso stirs and opens her eyes and you remove the LMA and place her on 6 litres of O2 via a Hudson mask. Now that the patient is conscious, you continue your observations, taking and recording her core temperature (using a tympanic ear thermometer) at 36.2°C and assessing the per vaginal (PV) loss, which is slight and bright. You sit Mrs Caruso slightly head up to facilitate optimal ventilation. Mrs Caruso is understandably upset and so you comfort her. Her vital signs remain stable and so after 15 minutes you remove her oxygen and trial her on room air. Mrs Caruso appears stable: SaO2 97% on room air, BP 115/85 mmHg, respirations 20 per minute and heart rate 70 bpm. No further PV loss is present and so you conclude that your patient is ready to be transported to the ward. You decide to record the next set of observations (due in 2 minutes) on the ward observation chart and then you will call the ward nurse to collect Mrs Caruso. What will be an ideal response?
A member in a psychotherapy group tells another member, "I'm tired of hearing you whine all the time
Why won't you just try to stick with the topic we are trying to discuss?" The nurse recognizes that the criticized member of the group best understands the goal of group work when he is heard stating: a. "You are always criticizing me. Don't talk to me like that.". b. "I understand that you have a hard time talking with people. I do too.". c. "You seem to always say nasty things that will hurt people's feelings. Maybe you should think before you speak.". d. "I've learned that speaking without thinking often results in hurt feelings. We all need to think before we speak.".