When caring for a patient who has had a hemorrhagic stroke, close monitoring of vital signs and neurological status is imperative. What is the earliest sign of deterioration in a patient with a hemorrhagic stroke?
A) Headache
B) Alteration in level of consciousness (LOC)
C) Tonic-clonic seizures
D) Shortness of breath
B
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A patient asks the nurse why his hip fracture (head of the femur) bone has died (osteonecrosis). The nurse responds based on which of the following pathophysiological principles?
A) All fractured bones interrupt blood supply and thereby results in death of the bone no matter where it is located. B) Most of the time when the head of the femur breaks, the entire neck region is disconnected to the rest of the bone so the blood vessels are severed. C) Since the head of the femur has only limited collateral circulation, interruption in the blood flow from the fracture causes necrosis and irreversible damage. D) When the femur head breaks, it dislocates and crushes the surrounding area causing the blood vessels to be occluded.
The narcotic control system is used by nurses working in any hospital or agency. There are special conditions all nurses must follow. (Select all that apply.)
1. Narcotics are watched by everyone on the unit. 2. Medication is stored in a special cabinet. 3. The nurse signs out for the medication. 4. An inventory must be kept on drugs.
The nurse is preparing to review a client's current medications. Which question is the most important for the nurse to ask the client?
A. "Where do you store your medications in your home?" B. "Do you carry health insurance?" C. "Can you tell me about any over-the-counter or prescription medications that you take?" D. "Can you tell me how much the co-pay is for your medications?"
The nurse is completing a survey that includes questions about different aspects of cultural competence. What is the purpose of this survey?
1. Assessment of cultural competence 2. Manage the dynamics of difference 3. Value diversity 4. Institutionalize cultural knowledge