Which clinical feature is the first to be affected in increased intracranial pressure (ICP)?
a. Decrease in level of consciousness (LOC)
b. Headache
c. Nausea
d. Widening pulse pressure
ANS: A
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A nurse works with a diverse population. This nurse can conclude that care planning has been successful when
a. all patients meet the objectives set forth. b. high levels of compliance are demonstrated. c. patient care plans are culturally relevant. d. patients understand what is expected of them.
A preterm infant is more likely than a full-term infant to have:
a. Closure of shunts b. Descended testes c. Inefficient thermogenesis d. Complete wrist flexion
The American Nurses Association serves as the
A. clearinghouse of standards set by clinical specialty organizations. B. regulatory agency setting the guidelines for the scope of practice. C. source of dissemination of nursing research. D. professional organization for all nurses regardless of practice setting or level of practice.
In assessing a client with damage to the occipital lobe, the nurse correlates which clinical manifestation to this injury?
a. Intentional tremors b. Visual changes c. Decreased hearing d. Inability to formulate words