A patient in the ICU has suffered severe head trauma as the result of a diving accident. Damage was sustained only in the frontal lobes of the brain. Which function is most likely to be impaired with this injury?
A) Breathing
B) Maintain steady posture when standing
C) Sneezing
D) Writing with a pen
D
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Hospitals are becoming occupied by
A) older and healthier patients. B) older and sicker patients. C) younger and healthier patients. D) younger and sicker patients.
A client who is a university student states that before taking an examination he feels a heightened
sense of awareness and a sense of restlessness. The nurse can correctly assess the client's situation as a. possible hypoglycemia. b. possible hyperthyroidism. c. mild depression. d. mild anxiety.
An older adult client is admitted with an infection. On assessment, the nurse finds the client slightly confused. Vital signs are as follows: temperature 99.2° F (37.3° C), blood pressure 100/60 mm Hg, pulse 100, and respiratory rate 20
Which action by the nurse is most appropriate? a. Perform a Mini-Mental Status Examina-tion. b. Assess the client for other signs of infec-tion. c. Document the findings and continue to monitor. d. Assess the client's pain level and treat if needed.
The nurse is caring for a patient who has septic shock. Which assessment finding is most important for the nurse to report to the health care provider?
a. Blood pressure (BP) 92/56 mm Hg b. Skin cool and clammy c. Oxygen saturation 92% d. Heart rate 118 beats/minute