A nurse caring for a patient with an external ventriculostomy notices that the CSF has changed from clear to pink-tinged. What condition might this signify?
A) Embolus
B) Edema
C) Catheter displacement
D) Bleeding in the ventricles
D
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An IV is infusing at 35 gtt/min. The drop factor is 15 gtt/mL. In 5 hours, the client will have received _______________
a. 175 mL b. 525 mL c. 700 mL d. 1,000 mL
When assessing the adult heart, the nurse expects to hear which heart sounds?
1. S1, then S2 2. S2, then S3 3. S3, then S4 4. S2, then S1
A client diagnosed with schizophrenia functions well and is bright, spontaneous, and interactive during hospitalization but then decompensates after discharge. What does the milieu provide that may be missing in the home environment?
A. Peer pressure B. Structured programming C. Visitor restrictions D. Mandated activities
A nurse enters the laundry room to empty a bag of dirty linen and discovers a fire in a laundry basket. What action should the nurse take first?
A. Confining the fire B. Extinguishing the fire C. Activating the fire alarm D. Running for the fire extinguisher