What size pupils do you expect to see in this comatose patient?
A 17-year-old high school student is brought in to your emergency room in a comatose state. His friends have accompanied him and tell you that they have been shooting up heroin tonight and they think their friend may have had too much. The patient is unconscious and cannot protect his airway, so he is intubated. His heart rate is 60 and he is breathing through the ventilator. He is not posturing and he does not respond to a sternal rub. Preparing to finish the neurologic examination, you get a penlight.
A) Pinpoint pupils
B) Large pupils
C) Asymmetric pupils
D) Irregularly shaped pupils
A) Pinpoint pupils
Narcotics and cholinergics cause very small (1 mm) pupils. Reactions to light can be appreciated with a magnifying glass.
You might also like to view...
A nurse is planning an in-service on preventing infection for the hospital staff nurses on a medical-surgical unit. Which nursing intervention is most effective in reducing the risk of infections?
A) Raising the temperature in the client's room B) Assessing vital signs once daily C) Wearing a mask for client care D) Performing hand hygiene
All members of the nurse manager's staff have attended classes that emphasized appropriate system access, input device use, potential harmful effects associated with incorrect data, data verification techniques, and error correction
They received a certificate indicating proficiency in the use of the input device and computer systems. These staff members will not require additional training unless the technology changes significantly. Which of the following suggests that this statement is false? 1. Continuing education is only necessary with significant changes. 2. Continuing education should be consistent. 3. Continuing education should be performed when time permits. 4. Continuing education is essential for point-of-care staff only.
Which of the fluids below are compatible with blood transfusions? (Select all that apply.)
a. D5LR c. 0.9%NS b. D5NS d. Lactated Ringers
When transferring persons, you should use good body mechanics. This includes which of the following?
a. Stand with a narrow posture. b. Face the person. c. Bend your back, not your legs. d. Use your arms to do the work.