A patient who suffered a T6 lesion during a spinal cord injury (SCI) 10 days ago is progressing with treatment and rehabilitation following the immediate treatment of his injury
When preparing to help the physical therapist mobilize the patient for the first time since the injury, the nurse should prioritize which of the following assessments?
A) Assessing the patient's blood pressure
B) Monitoring the patient's cognition
C) Monitoring the patient's pain level
D) Assessing the patient's respiratory rate
A
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The nurse is examining a 2-year-old child and asks, "May I listen to your heart now?" Which critique of the nurse's technique is most accurate?
a. Asking questions enhances the child's autonomy b. Asking the child for permission helps develop a sense of trust c. This question is an appropriate statement because children at this age like to have choices d. Children at this age like to say, "No." The examiner should not offer a choice when no choice is available
The nurse should notify the primary health care provider when which of the following occur while a client is receiving an antihypertensive? Select all that apply
A) Weight gain of 2 lb or more per day B) Headache C) Edema D) Insomnia E) Sedation
The nurse is providing care to an elderly female patient newly diagnosed with type 2 diabetes. Which of the following should the nurse discuss with this patient to reduce the risk of falling?
1. Home and ambulation safety 2. Adequate protein and carbohydrate consumption 3. History of strokes 4. History of wrist fractures
The patient received moderate sedation by IV prior to a bronchoscopy procedure. Before allowing the patient to have oral liquids, what must the nurse assess in this patient?
a. The patient is arousable b. The patient is able to speak c. The patients gag reflex is working d. The patient is able to rotate his head.