For a client who had a craniotomy, postoperative nursing care would give priority to which of these actions?
a. assessing respiratory function on a regular schedule
b. checking pupillary reactions
c. observing for changes in vital signs
d. using the Trendelenburg position immediately if shock develops
B
The nurse should monitor the pupillary reactions in a client who had a craniotomy. This assessment can reveal neurological changes that may occur.
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To assess for a ruptured Achilles tendon, you perform the Thompson test by manually squeezing the calf muscles of the patient's leg. What finding would suggest a ruptured Achilles tendon?
a. absence of dorsiflexion of that foot c. muscle spasms b. pain d. absence of plantar flexion of that foot
The school district is planning an educational program for high school students to reduce the incidence of rape. When planning this program, which information should the school nurse include? (Select all that apply.)
A) Carry a weapon or mace at all times. B) When leaving school after dark, walk on the street. C) Lock car doors when waiting in it and after parking it. D) Keep all doors and windows locked when home alone. E) Avoid taking illegal substances when in social situations.
How should the nurse describe associative play to a group of caregivers?
A) Children are playing apart from others without being part of a group B) Children are playing together in an activity without organization C) Children are playing in an organized group with each other D) Children are playing independently and are side by side
Mrs. Walsh requested more pain medication. According to the MAR, she can have the medication every 4 hours. She last received a dose at 1400 and it is now 1630. The healthcare provider gives the medication. This violates the basic right of the right ________ for medication administration.
Fill in the blank(s) with the appropriate word(s).