Following a craniotomy for the removal of a brain tumor, the patient exhibits nuchal rigidity, rash on the chest, headache, and a positive Brudzinski sign. What do these assessment findings indicate to the nurse?
a. Intracranial bleeding
b. Encephalitis
c. Increasing intracranial pressure
d. Meningitis
D
Nuchal rigidity, skin rash, headache, and a positive Brudzinski sign are indicative of meningitis.
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Which of the following interventions will decrease the risk of aspiration for the client who has dysphagia and requires assistance with eating?
A) position the client at a 45? angle to eat B) provide thin and clear liquids C) Finely puree solid foods so it slides down easily D) keep the client upright for an hour after eating
The nurse planning discharge instruction for a patient who just had a vasectomy would include: (Select all that apply.)
a. using a scrotal support for comfort. b. applying an ice pack to the scrotum for the first 24 hours. c. resuming sexual intercourse immediately. d. using another method of birth control until the sperm count is negative. e. returning for a follow-up sperm count in 6 months.
A nurse develops a plan of care for a child that includes patching the eye. This plan of care would be most appropriate for which condition?
A) Astigmatism B) Hyperopia C) Myopia D) Amblyopia
The nurse analyzes the results of a patient's arterial blood gases (ABGs). Which finding would require immediate action?
a. The bicarbonate level (HCO3–) is 31 mEq/L. b. The arterial oxygen saturation (SaO2) is 92%. c. The partial pressure of CO2 in arterial blood (PaCO2) is 31 mm Hg. d. The partial pressure of oxygen in arterial blood (PaO2) is 59 mm Hg.