The patient, injured in an automobile accident, is being evaluated in the emergency department for possible head injury. Which test should not be done if there is an indication of increased intracranial pressure?
a. CT scan
b. MRI scan
c. Lumbar puncture
d. Electroencephalogram
C
A lumbar puncture is contraindicated in patients who might have increased intracranial pressure, because the withdrawal of fluid may cause the medulla oblongata to herniate downward into the foramen magnum.
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Of the following lab results, which of the following is most desirable for a healthy older adult?
a. Total cholesterol of 300 mg/dl b. LDL of 60 mg/dl c. Triglycerides of 400 mg/dl d. FBS of 235
A patient has been admitted to the emergency department with severe bleeding from a gunshot wound to the right thigh
The nurse would expect therapy to be based in part on which laboratory values? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply. 1. Blood urea nitrogen (BUN) 2. Platelet count 3. WBC (white blood cell) count 4. Hematocrit 5. Hemoglobin
A patient reports, "I am overwhelmed by stress." Which question by the nurse would be most important to use in the initial assessment of this the patient?
a. "Tell me about your family history. Do you have any relatives who have problems with stress?" b. "Tell me about your exercise. How much activity do you typically get in a day?" c. "Tell me about the kinds of things you do to reduce or cope with your stress." d. "Stress can interfere with sleep. How much did you sleep last night?"
When caring for a child with an intravenous infusion, the nurse should:
a. use a macrodropper to facilitate reaching the prescribed flow rate. b. avoid restraining the child to prevent undue emotional stress. c. change the insertion site every 24 hours. d. observe the insertion site frequently for signs of infiltration.