A client had a lumbar puncture and the report came back as follows: glucose 70 mg/dl, protein 32 mg/dl, opening pressure 230 mm H2O, cells 100 . The priority action by the nurse would be to
a. administer IV diuretics.
b. monitor the client's blood pressure every 15 minutes for an hour.
c. place the client in Trendelenburg position.
d. prepare to administer IV antibiotics.
D
The high opening pressure (normal 70-180 mm H2O) and the high number of cells (normal 1-5) indicate infection in the CSF or brain, which can be life-threatening. Treatment is immediate IV antibiotics. The other two findings are normal.
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The fastest growing segment of the population in the United States is
a. Teenagers b. Babies c. People older than 85 years of age d. None of the above
A nurse is conducting a class on how to self-manage insulin regimens. A patient asks how long a vial of insulin can be stored at room temperature before it "goes bad." What would be the nurse's best answer?
A) "If you are going to use up the vial within 1 month it can be kept at room temperature." B) "If a vial of insulin will be used up within 21 days, it may be kept at room temperature." C) "If a vial of insulin will be used up within 2 weeks, it may be kept at room temperature." D) "If a vial of insulin will be used up within 1 week, it may be kept at room temperature."
When doing triage in a disaster situation, leaving a person whose injuries are beyond treatment with the available resources to attend to someone whose injuries, though serious, can be cared for with resources available is considered:
a. unprofessional behavior. c. inappropriate nursing care. b. abandonment of the person. d. ethically appropriate.
The nurse is taking care of a client who has been in the intensive care unit (ICU) for 10 days. Which nursing action would cause a decrease in stimulation of the reticular activating system?
1. Keeping the door closed and the lights dim 2. Assisting with bathing and activities for elimination 3. Allowing family members, including children, to visit 4. Turning on the television