What are symptoms of abusive head trauma (AHT) in the more severe form that may be present? (Select all that apply.)
a. Seizures
b. Posturing
c. Tachypnea
d. Tachycardia
e. Altered level of consciousness
ANS: A, B, E
In more severe forms, presenting symptoms of abusive head trauma may include seizures, posturing, alterations in level of consciousness, apnea, bradycardia, or death.
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A rural hospital has been at capacity for the past 3 months. The CNO (chief nurse officer) has heard numerous complaints from the nursing staff. Most of the complaints are issues related to other nursing departments and are minor
The CNO realizes: 1. The nursing staff are inefficient in managing the client load. 2. This is a typical reaction amongst nursing departments. 3. The nursing staff is stressed due to a sustained, increased workload. 4. The nurses are ready to unionize.
The patient, age 56, has cirrhosis of the liver with severe ascites. The nurse is assisting the physician in the procedure to remove this fluid from his abdominal cavity. This procedure is called an
a. abdominal paracephalus. b. abdominal paracentesis. c. abdominal paradentium. d. abdominal perimetrium.
The nurse cautions the CNAs to use care when transferring or handling the older adult because their vascular fragility will cause:
a. altered blood pressure. b. pressure ulcers. c. pruritus. d. senile purpura.
Which of the following fall prevention strategies should the nurse perform on all hospitalized patients? (Select all that apply.)
a. Conduct hourly rounds. b. Provide the patient regular toileting. c. Assess the patient's comfort needs. d. Evaluate the effectiveness of pain medication.