Describe a patient with a grade V SAH
What will be an ideal response?
With grade V SAH the patient is in a deep coma, with the highest level of function being decerebrate
rigidity, moribund appearance. The prognosis is extremely poor.
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A nurse collaborates with a respiratory therapist to complete pulmonary function tests (PFTs) for a client. Which statements should the nurse include in communications with the respiratory therapist prior to the tests? (Select all that apply.)
a. "I held the client's morning bronchodilator medication." b. "The client is ready to go down to radiology for this examination." c. "Physical therapy states the client can run on a treadmill." d. "I advised the client not to smoke for 6 hours prior to the test." e. "The client is alert and can follow your commands."
The mother of a 5-year-old child with eczema is getting a checkup for her child before school starts. Which of the following will the nurse do during the visit?
A) Change the bandage on a cut on the child's hand B) Assess the compliance with treatment regimens C) Discuss systemic corticosteroid therapy D) Assess the child's fluid volume
The nurse therapist is planning to begin a therapy group to which new clients will be added as the
present clients are discharged. This qualifies the group as a. open. b. closed. c. time-limited. d. milieu therapy.
Common surgeries to divert urine may include cutaneous ureterostomy, ileal conduit, and ureteroileostomy. In developing a nursing care plan for any of these patients, the concept that is common to them all is that:
1. a ureterostomy is smaller and lighter in color than an intestinal stoma and urine drainage is expected to be expelled through the stoma continuously. 2. the drainage pouch is cleaned with sterile water and soap only, regardless of how foul the odor has become. 3. the patient should be encouraged to drink about 750 mL water daily. 4. the urine will leak through the pouch at night, so care must be taken to protect the bedclothes.