Which of the following statements best describes assessment of arousal?
a. It measures content of consciousness and is a higher level function.
b. It is an evaluation of the reticular activating system and its connection with the thalamus and the cerebral cortex.
c. It becomes a valid parameter when the patient is able to respond to verbal stimuli, such as squeezing the hands on command.
d. Noxious stimuli are not to be used as an assessment parameter.
B
Assessment of the arousal component of consciousness is an evaluation of the reticular activating system and its connection with the thalamus and the cerebral cortex. Arousal is the lowest level of consciousness, and observation centers on the patient's ability to respond to verbal or noxious stimuli in an appropriate manner.
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A 3-year-old is hospitalized following surgery for a ruptured appendix. Opioids were administered postoperatively to relieve pain. During assessment of the child, the nurse notes that the child is sleeping
Vital signs are as follows: temperature 97.8?F axillary, pulse 90, respirations 12, and blood pressure 100/60. Based on this assessment, the nurse concludes that the child is: 1. Comfortable, and the pain is controlled. 2. In shock secondary to blood loss during surgery. 3. Experiencing respiratory depression secondary to opioid administration for postoperative pain. 4. Sleeping to avoid pain associated with surgery.
The nurse is planning to use evidence-based practice to plan a patient's care. What actions should the nurse include when using this approach?
Select all that apply. 1. Review internal evidence 2. Identify external evidence 3. Discuss patient preferences 4. Consider individual expertise 5. Analyze costs associated with care
To help determine the relevance of a study to practice, it is recommended that the reviewer read which two sections of the study initially?
a. Abstract, discussion b. Conclusions, references c. Literature review, purpose d. Methods, results
As a result of an outbreak of influenza in a community, a nurse encourages members of the community to receive the influenza vaccine. Which level of prevention is being used?
a. Primary prevention b. Secondary prevention c. Tertiary prevention d. Multifactorial prevention