An 80-year-old patient is brought to the urgent care center. The patient is unconscious and the physician suspects a cerebrovascular accident (CVA/stroke). You are assisting, so your first priority for this patient is to:
A) Perform the Glasgow Coma Scale
B) Perform CPR
C) Call the family
D) Maintain patency of the airway
D
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An IV is infusing at 75 mL/h. If the drop factor is 20 gtt/mL, what would this rate of flow equal in gtt/min?
1. 4 gtt/min 2. 240 gtt/min 3. 25 gtt/min 4. 225 gtt/min
What are the determining factors for a patient to be discharged from the PACU? (Mark all that apply.)
A) Temperature within normal limits B) Stable blood pressure C) Ability to respond to voice commands D) Adequate oxygen saturation E) Adequate respiratory function
The nurse is preparing a care plan for a person with late-stage Parkinson's disease. What complications should the nurse plan interventions to address? (Select all that apply.)
a. Dysphagia b. Hallucinations c. Immobility d. Insomnia e. Urinary incontinence
The nurse is assessing a client who has been taking up to 4 grams of acetaminophen (Tylenol) every day for undiagnosed pain. Upon questioning, the client reports he also takes kava-kava for pain. To check for a reaction due to ingestion of acetaminophen and kava-kava, the nurse asks the client about
a) Sensitivity to hot and cold temperatures b) Abrupt onset of rash and pruritus c) Excessive clotting of blood d) Shortness of breath