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A patient admitted with dermal ulcers who has a history of a T3 spinal cord injury tells the nurse, “I have a pounding headache and I feel sick to my stomach.” Which action should the nurse take first?

When the nurse is developing a rehabilitation plan for a 30-yr-old patient with a C6 spinal cord injury, an appropriate goal is that the patient will be able to

A 70-yr-old female patient with left-sided hemiparesis arrives by ambulance to the emergency department. Which action should the nurse take first?

After the emergency department nurse has received a status report on the following patients who have been admitted with head injuries, which patient should the nurse assess first?

What are the three elements of Cushing’s triad seen in patients with ICP?   [1st] [2nd] [3rd]

When assessing a patient with a head injury, the nurse recognizes that the earliest indication of increased intracranial pressure (ICP) is

A patient admitted with possible stroke has been aphasic for 3 hours, and his current blood pressure (BP) is 174/94 mm Hg. Which order by the health care provider should the nurse question?

A patient in the clinic reports a recent episode of dysphasia and left-sided weakness at home that resolved after 2 hours. The nurse will anticipate teaching the patient about

A patient who has a head injury may develop increased intracranial pressure (ICP). Which of these interventions may be used to decrease the ICP?

The nurse is caring for a client in the neurologic intensive care unit (ICU) with head trauma. The client is being monitored for increased intracranial pressure (IICP). Using the Monro-Kellie hypothesis as a basis for explanation, which comment by the nurse to the client’s family would be most appropriate?