A 20-year-old experiences a severe closed head injury as a result of a motor vehicle accident. Which of the following structures is most likely keeping the patient in a vegetative state (VS) 1 month after the accident?

a. Cerebral cortex
b. Brainstem
c. Spinal cord
d. Cerebellum


ANS: B
When a person loses cerebral function, the reticular activating system and brainstem can maintain a crude waking state known as a VS. Cognitive cerebral functions, however, cannot occur with-out a functioning reticular activating system. A VS is not associated with the cerebral cortex, spinal cord, or cerebellum.

Nursing

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A 51-year-old female client who is 2 days postoperative in a surgical unit of a hospital is at risk of developing atelectasis as a result of being largely immobile. Which of the following teaching points by her nurse is most appropriate?

A) "Being in bed increases the risk of fluid accumulating between your lungs and their lining, so it's important for you to change positions often." B) "You should breathe deeply and cough to help your lungs expand as much as possible while you're in bed." C) "Make sure that you stay hydrated and walk as soon as possible to avoid us having to insert a chest tube." D) "I'll proscribe bronchodilator medications that will help open up your airways and allow more oxygen in."

Nursing

A patient has had an air embolus. What should be the immediate action of the quick-thinking nurse?

a. Turns the patient to the left side and low-ers the head of the bed b. Calls the "code team" c. Gives oxygen at 100% in a nonrebreathing mask d. Notifies the charge nurse

Nursing

The nurse is analyzing a phenomenological research study. Which data would the nurse evaluate as matching this study design? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply

1. Waiting to have a procedure done is more stressful than the actual procedure. 2. A patient's blood pressure is 150/90 after ambulating 10 feet. 3. A patient's urine output after ingesting 240 mL of water is 100 mL. 4. Ten mothers in the same housing community desire a centrally located day care facility. 5. Breast cancer survivors are more likely than others to participate in efforts to raise money for breast cancer research.

Nursing

A patient has been taking warfarin (Coumadin), which is highly protein-bound. The patient will begin taking gemfibrozil, which is also highly protein-bound. The nurse will observe the patient closely for

a. decreased effects of warfarin. b. increased effects of warfarin. c. decreased effects of gemfibrozil. d. decreased effects of both drugs.

Nursing