A critically injured patient can be aroused only by vigorous and continuous external stimuli. The patient's level of consciousness is considered
a. lethargic.
b. obtunded.
c. stuporous.
d. comatose.
C
Stuporous means the patient can be aroused only by vigorous and continuous external stimuli. Motor response is often withdrawal or localizing to stimulus. Obtunded means the patient displays dull indifference to external stimuli, and response is minimally maintained. Questions are answered with a minimal response. Lethargic means the patient displays a state of drowsiness or inaction in which the patient needs an increased stimulus to be awakened. Comatose means vigorous stimulation fails to produce any voluntary neural response in the patient.
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The nurse is considering a career as a family health nurse. A typical practice setting for this type of nurse would include all of the following, EXCEPT:
a. elementary schools. b. public health clinic for teens. c. free-standing surgery center. d. primary care clinic.
A male patient with multiple injuries is brought to the emergency department by ambulance
He has had his airway stabilized and is breathing on his own. The ED nurse does not see any active bleeding, but suspects internal hemorrhage when the patient what? A) Complains of pain at wound sites B) Has increased pulse rate C) Has increased blood pressure D) Has increased urine output
During a 14-year-old's physical examination, the nurse identifies that he plays soccer and football and is complaining of knee pain when he rises from a squatting position, and difficulty with weight bearing. The nurse should suspect
a. Legg-Calvé-Perthes disease b. Osteomyelitis c. Duchenne muscular dystrophy d. Osgood-Schlatter disease
Nurse P works in a well baby clinic. Because most of her mothers and babies live in a very rural area she is careful to:
1. Teach mother's the importance of supplemental fluoride. 2. Measure each child's length and plot on a growth chart. 3. Ask about family pets. 4. Refer qualifying mother's to WIC.