Which of the following is a danger signal picked up by sensory receptors to alert the brain to a possible injury?
A. inflammation
B. pruritus
C. pain
D. anxiety
Answer: C
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A nurse is caring for a 10-year-old child with a brain injury. On assessing the child, the nurse finds the following data: opens eyes only to pain, mutters inappropriate words, has abnormal extension to stimulation. Which action by the nurse takes priorit
A. Alert the operating room for emergent surgery. B. Document the findings; reassess in 15 minutes. C. Notify the provider; prepare for intubation. D. Raise the head of the child's bed to 45 °.
In order for a patient to flex the lower leg, which muscle must be contracted?
a. Quadriceps b. Gastrocnemius c. Biceps femoris d. Rectus femoris
A 22-year-old female is diagnosed with mycobacterial tuberculosis. The physician orders rifampin (Rifadin) 600 mg PO daily. What should the nurse question the patient about?
A) Her diet B) Sun exposure C) Type of exercise she does D) Use of contact lenses
Upon assessing a pressure ulcer, the nurse notes the presence of red, yellow, and black tissue. Using the RYB color code, which wound care should the nurse plan?
1. Red 2. Yellow 3. Black 4. A combination of all three