The nurse caring for a client with a closed head injury gathers the following data: pupils dilated and nonresponsive bilaterally, no response to vigorous stimuli, absence of corneal reflex, absence of respiratory initiation when carbon dioxide
levels elevate, and decrease in blood pressure. The nurse anticipates a diagnosis of: 1. Increased intracranial pressure.
2. Brain death.
3. Cerebrovascular accident.
4. Intracranial hemorrhage.
2
Rationale: This client's condition is highly suspicious of brain death. Further testing will be required to confirm this diagnosis.
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What is the purpose of the myelin sheath?
A) Protects the nerve from damage B) Speeds electrical conduction C) Produces Schwann cells D) Secretes neurotransmitters
The nurse, as a unique person, brings to each practice-patient relationship qualities such as knowledge, past experiences, strengths, and weaknesses. The inclusive term used to describe this phenomenon is:
1. personhood experiences. 2. physiologic influence. 3. sociologic influence. 4. use of "self" in nursing.
The nurse is teaching a nutrition class and knows the students understand the content of the lecture on nutrition and diabetes when a student is heard to say, "Nutrition therapy is the cornerstone of treatment for" which of the following?
A) Pregnant diabetics C) Type 2 diabetics B) Type 1 diabetics D) All diabetics
An appropriate way to maintain a healthy body weight includes
a. eating only at set mealtimes. b. learning to respond to actual hunger cues. c. counting calories to restrict energy intake. d. avoiding foods that are high in fat and added sugar.