A nurse assesses a 1-month old's Glasgow Coma Scale (GCS) and finds the following: opens eyes to pain, irritable cry, localizes pain

Your calculation indicates that this child's GCS is ____________________.


ANS:
11 (eyes = 2, vocal = 4, motor = 5; total = 11)

Nursing

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Which of the following is a correct statement describing asthma in older clients?

A) asthma is not diagnosed as a new condition in older clients B) asthma can be differentiated from chronic obstructive pulmonary disease (COP D) by changes seen on a series of chest x-rays C) asthma is treated with the same types of medications in older clients as in younger clients D) older clients are less likely to have side effects and drug interactions from asthma medications than younger clients

Nursing

A clinic patient is short of breath and has ankle edema. Today's weight is 8 pounds heavier that last week's weight. The nurse determines that the patient could have retained ______ pints of fluid

Fill in the blank(s) with correct word

Nursing

A 70-year-old white male comes to the clinic with a slightly raised, scaly, pink, and irregular lesion on his scalp. He is a farmer and works outside all day. You suspect actinic keratosis, but cannot rule out other lesions

What recommendation would you give him? A. Ignore the lesion, as it is associated with aging. B. Instruct him to use a nonprescription hydrocortisone cream to dry up the lesion. C. Perform a biopsy or refer to a dermatologist. D. Advise him to use a dandruff shampoo and return in one month if the lesion has not gone away.

Nursing

A patient with chronic obstructive pulmonary disease works with the nurse to set a goal of ambulating to the bathroom with oxygen. Which statement best documents progress toward this goal?

a. "Dyspnea is controlled with oxygen and rest." b. "Arterial blood gases are within normal limits." c. "Patient assisted to bathroom three times today." d. "Ambulated to bathroom with oxygen, dyspnea level 3 on a 0-to-10 scale."

Nursing