In assessing the patient with a significant right-sided closed head injury, the nurse would anticipate the patient to demonstrate which sign?
a. Left-sided motor deficit with sluggish right pupil response
b. Right-sided motor deficit with brisk right pupil response
c. Bilateral motor deficit with bilaterally sluggish pupil response
d. Left-sided motor deficit and bilateral PERRLA
A
A right-sided injury will cause contralateral (opposite side) motor deficit and ipsilateral (same side) pupillary response.
You might also like to view...
Which area of the skin functions in providing a cushion between the skin layers, muscles, and bones?
A) Dermis B) Subcutaneous tissue C) Epidermis D) Stratum corneum
Which referral for assistance at home with ADLs would be most appropriate for the nurse to recommend with the client prior to the Alzheimer's dementia stage of decline?
A) Physical therapist B) Home health aide C) Occupational therapist D) Dietician
As you work with staff in delegation, what is the general communication expectation from the UAP to you?
1. Reports to you every 15 minutes. 2. Agrees to not bother you and report emergency concerns. 3. Asks questions about the assignment. 4. Delegatee expects the nurse to know delegatee's experience and competencies.
The nurse is preparing to counsel a 46-year-old woman who has been postmenopausal for 1 year about the common health risks associated with menopause. What should the nurse include in this teaching? Select all that apply.
A. Osteoporosis B. Heart disease C. Hypertension D. Diabetes E. Macular degeneration