The nurse is aware that an epidural hematoma warrants immediate intervention based on which criteria? (Select all that apply.)
a. An epidural hematoma is related to bleeding from arterial venous source.
b. An epidural hematoma can increase intra-cranial pressure (ICP) quickly.
c. An epidural hematoma changes overall condition quickly.
d. An epidural hematoma can cause death.
e. An epidural hematoma can cause irre-versible brain damage.
B, C, D, E
An epidural hematoma can increase ICP quickly, changes overall condition quickly, and can cause death or irreversible brain damage. Bleeding is related to an arterial source. An epidural hematoma is a medical emergency.
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The patient is complaining of midsternal chest pain that feels like constant severe pressure. The pain is not relieved by rest or three nitroglycerin tablets and is different than the pain the patient has had in the past
What is the priority nursing action? A) Administer another nitroglycerin tablet. B) Obtain a 12-lead electrocardiogram. C) Use anxiety reduction techniques. D) Teach risk reduction strategies.
A nurse is visiting an 84-year-old woman living at home and recovering from hip surgery
The woman seems confused and has poor skin turgor, and she states that "she stops drinking water early in the day because it is too difficult to get up during the night to go to the bathroom." The nurse explains to the woman that: A) She will need to have her medications adjusted and be readmitted to the hospital for a complete workup. B) Limiting fluids can create imbalances in the body that can result in confusion; maybe we need to adjust the timing of your fluids. C) It is normal to be a little confused following surgery and it safe not to urinate at night. D) Confusion following surgery is common in the elderly due to loss of sleep.
The director of nursing is searching for information about the Consumer Assessment of Health Plans. Which organization website should the director access for this information?
1. Joint Commission (TJC) 2. Centers for Medicare and Medicaid Services (CMS) 3. National Association for Healthcare Quality (NAHQ) 4. Agency for Healthcare Research and Quality (AHRQ)
Ms. Lawson is a 41-year-old patient who presents for a routine annual examination. During her breast examination, you are also completing a lymphatic examination
Which of the following lymph nodes are examined during a breast examination? (Select all that apply.) a. Supraclavicular b. Lateral axillary nodes c. Anterior cervical nodes d. Anterior axillary nodes e. Posterior cervical nodes