The nurse is monitoring a patient who has had a subarachnoid bleed. The nurse plans care based on the knowledge that the risk for cerebral vasospasm is highest in Fisher grade _______ aneurysms
Fill in the blank(s) with correct word
3
Rationale : Fisher grade 3 aneurysms have a localized clot or a layer of blood greater than 1 mm thick. This configuration makes cerebral vasospasm more likely due to irritation of tissues.
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Which of the following chapters from the Joint Commission's hospital accreditation manual does not fall under the category of patient-focused functions?
a. provision of care, treatment, and services b. medication management c. nursing services d. ethics, rights, and responsibilities
The nurse is planning care for a newborn with a cleft lip and palate scheduled for surgery in a few weeks. For which health need will the nurse focus when planning this patient's care?
A) Visual stimulation B) Nutritional support C) Prevention of pneumonia D) Prevention of oral infection
The nurse is providing education for a community regarding risk factors for chronic diseases. Which of the following statements from the audience indicates that more teaching is required?
1. "So, I don't have to lose my extra weight. I just need to stop smoking to prevent a chronic disease from developing.". 2. "A diet with lots of fruits and vegetables will help reduce my risk.". 3. "I need to get my blood pressure under control and stop drinking so much to help cut my risk.". 4. "I didn't know how much my bad diet could increase my risk for developing a chronic disease.".
A patient is being discharged with prescribed sublingual nitroglycerin. Which teaching points does the nurse include in the patient's care plan? (Select all that apply.)
a. Keep the tablet in place until it is dissolved. b. Swallow the tablet with a full glass of water. c. A tingling sensation means that the drug is potent. d. Do not eat anything until after the tablet is dissolved. e. Call your prescriber if chest pain persists after one tablet.