A nurse suspects that a client admitted for treatment of bacterial meningitis is experiencing increased intracranial pressure (ICP). Which of the following assessment findings by the nurse supports this suspicion?
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A nurse is caring for a client who has a traumatic brain inj…
A nurse is caring for a client who has a traumatic brain injury. Which finding should the nurse identify as an indication of increased intracranial pressure (ICP)?
An older client presents with central obesity, a buffalo hum…
An older client presents with central obesity, a buffalo hump, and thin extremities. The client states that she bruises easily, has purple areas on the flank of her abdomen, and has developed acne. What past medical history/treatments could be the cause of these changes?
The Covid-19 virus was identified as a novel virus that sta…
The Covid-19 virus was identified as a novel virus that started in the Wuhan province in China. A nurse caring for a client who has tested positive for Covid-19 should don what equipment to assist in the intubation of the client?
The nurse is caring for patients on the medical floor. Which…
The nurse is caring for patients on the medical floor. Which patient should the nurse assess first?
The nurse is caring for a client following a traumatic head…
The nurse is caring for a client following a traumatic head injury. The patient’s current vital signs are: T99.2F HR 108 RR 24 BP 155/80. The ICP is 26. No seizure activity is noted. Which of the following orders would the nurse carry out?
A group of newly hired nurses is reviewing occupational risk…
A group of newly hired nurses is reviewing occupational risks of contracting Hepatitis B. What preventative measures should they identify? (Select all that apply)
The nurse is assessing a client admitted to the medical-surg…
The nurse is assessing a client admitted to the medical-surgical unit on the night shift. The nurse observes that the client has an enlarged, protruding abdomen and distended veins on the abdominal wall. Upon physical examination, the nurse detects a shock wave of fluid during palpation and dullness to percussion. The nurse notes the client is confused and exhibits asterixis. The nurse would anticipate the provider to order what intervention?
A nurse is caring for a client who has had a spinal cord inj…
A nurse is caring for a client who has had a spinal cord injury at the level of the T2-T3 vertebrae. When planning care, the nurse should anticipate which of the following types of disability?
The nurse is reviewing the health care records of a client,…
The nurse is reviewing the health care records of a client, The team suspects a malignant breast tumor. On palpation, the mass most likely had what characteristic?