A client with a head injury has had the caloric test performed using ice-cold water. When the water was injected into the auditory canal, the client's eyes moved slowly toward the irrigated side and then quickly returned to midline
The nurse would conclude after watching this reaction that the client a. has an intact brain stem.
b. has brain death.
c. is likely to arouse within 24 hours.
d. will be permanently deaf.
A
If brain stem function is intact, the eyes move in a conjugate fashion slowly toward the irrigated side and then quickly move back to midline.
You might also like to view...
A client diagnosed with dementia is becoming increasingly unable to express complete thoughts and is having difficulty engaging in simple conversations. When communicating with this client, the nurse should
a. use words directly applicable to the client's daily routine. b. restate ideas using different words in a different sequence. c. refrain from validating the meaning of the client's responses. d. ask the client questions that require more than a yes or no answer.
Research undertaken by Miller and Rahe in 1997 demonstrated a correlation between the effects of life change and illness. This research led to the development of the Recent Life Changes Questionnaire (RLCQ)
Which principle most limits the effectiveness of this tool? A. Specific illnesses are not identified. B. The numerical values associated with specific life events are randomly assigned C. Stress is viewed as only a physiological response. D. Personal perception of the event is excluded.
A nurse is caring for a 62-year-old female client with metastatic endometrial carcinoma receiving radiation therapy. What is a nursing consideration to be employed when caring for the skin of a client receiving radiation therapy?
A) Use only plain, tepid water on the irradiated skin. B) Wear no clothing next to the irradiated skin. C) Apply at least an SPF 8 sunscreen on the skin. D) Use a cooling device on the treatment area.
Prodrugs are inactive in the original form and become active only after they are altered by the liver _______.
Fill in the blank(s) with the appropriate word(s).