To quickly assess a patient’s nervous system for dysfunction, what assessment should the healthcare professional perform as the priority?

a. Size and reactivity of pupils
b. Pattern of breathing
c. Motor response
d. Level of consciousness


Ans: d. Level of consciousness

Nursing

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The nurse is caring for a client who has recurrent sinusitis. Which consideration could the nurse suggest to best decrease the frequency of infections?

A) Administer an over-the-counter decongestant. B) Use an anti-allergy medication to decrease rhinitis. C) Place a warm cloth over the sinus area of the forehead. D) Gently blow the nose to eliminate nasal secretions.

Nursing

The nurse is assessing a 28-year-old man with HIV who has been admitted with pneumonia. In assessing the patient, which of the following observations takes immediate priority?

A) Oral temperature of 100°F B) Tachypnea and restlessness C) Frequent loose stools D) Weight loss of 1 pound since yesterday

Nursing

The nurse would encourage the client who is attempting to lose weight to reduce the intake of

a. broccoli. b. cheese. c. chicken. d. oranges.

Nursing

The patient has experienced hypovolemic shock as a result of severe burns. The physician orders a low dose of dopamine (Inotropin). What is the best evaluation by the nurse?

1. Vasoconstriction and increased blood pressure 2. Stabilization of fluid loss 3. Urinary output of at least 50 mL/hour 4. Increased cardiac output

Nursing