A patient is admitted to the critical care unit with a subdural hematoma. The GCS is used to assess his level of consciousness. In assessing the patient's best motor response, the movement that receives the lowest score is
a. decerebrate posturing. c. withdrawing from pain.
b. localizing pain. d. decorticate posturing.
A
Extension, or decerebrate posturing, to noxious stimuli receives a score of 2 on the Glasgow Coma Scale. The only lower score is 1, which is a flaccid response.
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A client with terminal cancer has signed an advance directive indicating that no parenteral nutrition or hydration will be implemented
For several days the client has refused food and fluids, pushing the caregiver's hands away when attempts are made to feed the client or offer any kind of fluid. The family is considering placing a gastrostomy tube because they feel the client is "starving to death." Which actions by the nurse are appropriate? Select all that apply. A) Take the case to the hospital's ethics committee. B) Honor the client's refusal of parenteral nutrition and hydration. C) Talk to the healthcare provider so the family's wishes can be acted upon. D) Help the family come to terms with the situation. E) Honor the family's wishes and have them sign a consent form.
A nurse on the burn unit is reviewing with a group of nursing students the role of the hypodermis. Based on this information, what would be the best explanation to the nursing students about the role of the hypodermis?
A) Acts as a waterproof barrier protecting the inside of the body B) Restricts penetration from microorganisms C) Nourishes and supports the epidermis D) Anchors the skin to the underlying tissues and organs
When an emergency department nurse teaches a victim of the rape trauma syndrome about reactions that may occur during the long-term reorganization phase, which symptoms should be included? Select all that apply
a. Development of fears and phobias b. Decreased motor activity c. Feelings of numbness d. Flashbacks, dreams e. Syncopal episodes
Research hypotheses may be simple or complex. Which statement describes a study that is designed to test a complex hypothesis?
1. Two groups of subjects are in the study. 2. More than two variables are to be tested in the hypothesis. 3. Complex definitions for the variables are in the hypothesis. 4. The hypothesis will be too difficult to test in a study.