The nurse is caring for an older adult patient who was admitted to the hospital following a closed head injury that resulted in a 5-minute period of unconsciousness. The nurse most carefully mon-itors the patient for which change?
a. Increasing respiratory rate
b. Decreasing heart rate
c. Decreasing pulse pressure
d. Decreasing level of consciousness (LOC)
D
Assessment of LOC provides the greatest amount of information about neurologic condition. A reduction in LOC may signal the onset of complications in the patient who has had a head injury.
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The prescriber orders a medication q8h. The nurse enters the following times on the medication administration record (MAR): 12 AM- 6 AM- 12 PM- 6 PM
What error has occurred?
According to standard professional thinking, nurses should auscultate the FHR:
1. every 15 minutes in the active phase of the first stage in the absence of risk fac-tors. 2. every 20 minutes in the second stage whether or not risk factors are present. 3. before and after ambulation and rupture of membranes. 4. more often in a woman's first pregnancy.
The nurse teaches the clients to use insulin pumps to help minimize hyperglycemia by providing written information to the clients; however, after follow-up laboratory testing, the clients' average HgbA1c value is greater than 7.8%
Which should the nurse implement to implement effective client care? (Select all that apply.) 1. Lead a regular exercise program. 2. Check each client's reading level. 3. Decrease caloric intake of clients. 4. Collaborate for additional insulin. 5. Check reading level of information. 6. Review hyperglycemic complications.
Handwashing is not necessary after using the computer if you typed through a clear plastic cover.
Answer the following statement true (T) or false (F)