A patient with a ruptured cerebral aneurysm is demonstrating drowsiness and confusion. On the Hunt and Hess scale, this patient would be rated as being a:
1. Grade 1
2. Grade 2
3. Grade 3
4. Grade 4
3
Rationale 1: A grade 1 is asymptomatic or is evidenced by minimal headache and slight nuchal rigidity.
Rationale 2: A grade 2 is evidenced by moderate-to-severe headache, nuchal rigidity, and no neurologic deficit other than cranial nerve palsy.
Rationale 3: A grade 3 is evidenced by drowsiness, confusion, or mild focal deficit.
Rationale 4: In grade 4 there is stupor, moderate-to-severe hemiparesis, possible early decerebrate rigidity, and vegetative disturbances.
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A 13-year-old girl is diagnosed with functional scoliosis. What does the nurse explain as the cause of this spinal curvature defect?
a. Juvenile rheumatoid arthritis b. Poor posture c. Heredity d. Myelomeningocele
Which accurately describes provision of service?
1 . Guarantees reimbursement 2 . Clear and comprehensive documentation is required of need for services. 3 . Clear and comprehensive documentation is required of actual services. 4 . Social worker is the gatekeeper. A) 1, 2 B) 1, 4 C) 2, 3 D) 3, 4
The nurse is assessing the oral mucosa of a pregnant female and notes enlargement of the gums. The client states that regular oral hygiene is performed and that she does not understand why this has occurred
Which of the following is the nurse's best response? 1. "You may have oral cancer.". 2. "You are experiencing a normal change during pregnancy.". 3. "You may have leukoplakia.". 4. "You need to decrease the frequency of your oral hygiene.".
A nurse performing a breast examination on a female patient places the patient in a supine position, places a pillow under the right shoulder, and asks the patient to place her right lower arm above her head. What is the reason for this position?
a. Flatten the breast tissue evenly over the chest wall. b. Help the patient to relax and feel more comfortable. c. Reveal lumps deep in the breast more easily. d. Expose any drainage from the nipples.