The patient in the ER states that she fell and hit her head and blacked out for a while, but became alert again. Suspecting an epidural hematoma, the nurse will be diligent in the as-sessment of:
1. headache.
2. increasing blood pressure.
3. increasing respiration rate.
4. vomiting.
2
Increasing blood pressure and a widening pulse pressure are indicators of increased ICP.
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A student notices that at certain times during his studying for final exams, he is more awake and his ability to think at a higher level is happening easier
The nurse knows that this experience may be attributed to which of the following neurological functions? A) Release of excitatory neurotransmitters such as glutamate B) Release of GABA, an inhibitory neurotransmitter C) Release of corticotrophin-releasing hormone D) Heightened precortex processes
Nursing data need to include which of the following possible domains?
a. Fiduciary data b. Outcome data c. Patient data d. Tertiary data
Which is the best approach for the nurse to use to obtain a history from a client with sudden hearing loss?
a. Question the client's family. b. Write out the questions for the client to answer. c. Obtain the information from the client's old chart. d. Check with the client's primary health care provider.
The nurse is providing assistance at a community health fair for middle-aged clients. Which information should the nurse use when working with this group of clients?
1. The middle-aged person has decreased intellectual and cognitive abilities as a result of the normal aging process. 2. Adults make the transition into this stage easily and without problems. 3. Physical capabilities and functions decrease with age, but mental and social capacities tend to increase in the latter part of life. 4. Cognitive and intellectual abilities are somewhat decreased due to slower reaction time, loss of memory, and changes in perception and problem solving.