A nurse is caring for a patient who was admitted with severe hyponatremia. Which of the following symptoms would indicate the patient has increased intracranial pressure? Select all that apply
1. Presence of Chvostek sign
2. Presence of Trousseau sign
3. Patient is anxious and restless
4. Blood pressure (BP) = 184/80
5. Pulse (P) = 52
ANS: 4, 5
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The nurse understands that which factors can increase blood pressure? (Select all that apply.)
a. Head injury b. Decreased fluid volume c. Increasing age d. Recent food intake e. Pain
The nurse admits a client with methicillin-resistant Staphylococcus aureus (MRSA). The nurse knows that this client:
A) cannot be treated with any antibiotics. B) must be isolated using Contact Precautions. C) can be placed in a room with another client with an infection. D) can be treated with no restrictions.
Upon encountering a new client at the disaster shelter, the nurse initiates an assessment. This assessment is a critical step for, and basis of, later decisions relating to:
A) Interventions. B) Level of confusion. C) Problem solving. D) Emotional tension.
In today's world, some researchers have concluded it is best to focus on complex behavioral decision making and group performance that results from it than:
A. An individual leader's behavioral traits B. An individual's personality C. How a person manages conflict D. An individual's ability to manage change