Which assessment information will the nurse collect to determine whether a patient is developing postconcussion syndrome?
a. Muscle resistance
b. Short-term memory
c. Glasgow coma scale
d. Pupil reaction to light
Ans: b. Short-term memory
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An intubated client's oxygen saturation has dropped to 88%. What action by the nurse takes priority?
a. Determine if the tube is kinked. b. Ensure all connections are patent. c. Listen to the client's lung sounds. d. Suction the endotracheal tube.
A nurse is admitting a child scheduled for a Fontan repair. Which condition does the nurse understand the child to have?
A. Aortic stenosis B. Patent ductus arteriosus C. Pulmonary regurgitation D. Tricuspid atresia
An IV solution originally scheduled to flow at a rate of 2 L in 24 hours is behind schedule. The drop factor for the IV tubing is 15 gtt/mL. Agency policy allows a 25% increase in the base rate if there are no contraindications
Recalculate the gtt/min when this increase is put into effect. _____ a. 83 b. 63 c. 26 d. 21
The nurse has been teaching a parent about stimuli to develop her infant's auditory nervous system. Which behavior by a parent toward the child provides evidence that learning occurred?
a. Cuddling b. Speaking c. Feeding d. Soothing