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Cc Questions Exam With Complete Solution Latest Update
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Cc Questions Exam With Complete Solution Latest Update
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Cc Questions Exam With Complete Solution Latest Update which questions does the nurse ask when conducting an expanded assessment to determine patient orientation? select all that apply A. what is your name? B. what state are you in right now? C. what floor are we on right now? D. what are the names of your children? E. what kind of place are we in right now? - correct answer B, C, D, E the nurse is caring for a pt with a basiliar skull fracture and an intracranial pressure of 17mmHg, mean arterial pressure of 85 mmHg and a cerebral perfusion pressure of 68 mmHg. what is the priority intervention for this patient? A. elevate the head of the bed to 30 degrees B. encourage the pt to cough and deep breath - correct answer A. elevate the head of the bed to 30 degrees the nurse is reviewing orders written for a pt returning from surgery to remove a spinal cord tumor. which order should the nurse implement immediately? A. install a bed cradle B. apply heel protection C. Dexamethasone (Decadaron) 10 mg IVP now and every 8 hours x 2 doses D. monitor bowel sounds; notify if unable to obtain or faint in any abdominal quadrant - correct answer C. Dexamethasone (Decadaron) 10 mg IVP now and every 8 hours x 2 doses the nurse notes that a pt with low back pain is experiencing radiculopathy. what should the nurse expect when assessing this pt? select all that apply A. pain B. edema C. weakness D. numbness E. inability to control motor movements - correct answer A, C, D, E the nurse provides care for a pt who is prescribed a serum osmolality for the management of increased intracranial pressure (ICP). which is an appropriate action by the nurse? A. ensure the pt remains completely still during the test B. inspect the pts head to ensure that all electrodes are in place C. administer the prescribed benzodiazepine to decrease claustrophobia D. draw the blood within one to two hours of osmotic diuretic administration - correct answer D. draw the blood within one to two hours of osmotic diuretic administration when caring for a pt who has had a head injury, which assessment information requires the immediate action by the nurse? A. a pt who is more difficult to arouse than she was 1 hour ago B. a pt with slightly irregular pulse C. a pt with a BP that increased from 120/54 to 136/60 D. a pt who complains of a headache with pain 5/10 - correct answer A. a pt who is more difficult to arouse than she was 1 hour ago the nurse is caring for a pt with a large epidural hematoma who is intubated and on the ventilator. the physician instructs the nurse to hyperventilation the pt. the nurse understands the best rationale for this action is which of the following? A. increase the pts PaCO2 to lower intracranial pressureThe benefits of buying summaries with Stuvia:
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