List four of the signs of increased intracranial pressure
What will be an ideal response?
Severe headache
Vomiting
Blurred and double vision
Unequal pupils
Slurred speech
Seizures
Will not waken
Confusion
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The nurse wants to assess the apex of a client's right lung. Which locations should the nurse place the stethoscope to assess this area on the client?
1. Intercostal space sixth rib near the sternum. 2. Intercostal space fourth rib near the axillary line. 3. Below the scapula. 4. Near the right clavicle.
A patient with polymyositisis experiencing challenges with activities of daily living as a result of proximal muscle weakness. What is the most appropriate nursing action?
A) Initiate a program of passive range of motion exercises B) Facilitate referrals to occupational and physical therapy C) Administer skeletal muscle relaxants as ordered D) Encourage a progressive program of weight-bearing exercise
A client asks the nurse, "During my pregnancy, when does the baby gain the most weight?" The best reply by the nurse would be
a. during the first 6 weeks c. during the last 3 months b. during the first 3 months d. during the second trimester
Which of the following is true about the affects of the release of ADH?
A. ADH is released when the blood serum sodium level is hypertonic, having a serum sodium level of >145 mEq/l. ADH secretion is inhibited when the blood serum sodium level is hypotonic and has a serum sodium level of <135 mEq/l. B. ADH is released when the blood serum sodium level is hypertonic and has a serum sodium level of <135 mEq/l. ADH secretion is inhibited when the blood serum sodium level is hypotonic and has a serum sodium level of >145 mEq/l. C. ADH is released when the blood serum sodium level is hypotonic and has a sodium level of <135 mEq/l. ADH secretion is inhibited when the blood serum sodium level is hypertonic and has a serum sodium level of >145 mEq/l. D. None of these are correct.