Glasgow coma Study guides, Class notes & Summaries

The nurse is caring for a patient with increased intracranial pressure (ICP). Which action would be considered to be a collaborative intervention? a. Decreasing perfusion b. Administering an osmotic diuretic c. Assessing orientation d. Assessing for edema correct answer: ANS: B Which assessment finding would be the earliest and most sensitive indicator that there is an alteration in intracranial regulation? a. Change in level of consciousness b. Inability to focus visually c. Loss o...

HERZING UNIVERSITY MED SURG 1 FINAL EXAM 2024 WITH 100% CORRECT ANSWERS A nurse is caring for a client who is postprocedure following lumbar puncture and reports a throbbing headache when sitting upright. Which of the following actions should the nurse take? (Select all that apply) a.) Use the Glasgow Coma Scale when assessing the client b.) Assist the client to a supine position c.) Administer an opioid medications d.) Encourgae the client to increase fluid intake e.) In...

c. severe maxillofacial fractures 1. Which of the following signs is LEAST reliable for diagnosing esophageal intubation? a. symmetrical chest wall movement b. end-tidal CO2 presence by colorimetry c. bilateral breath sounds d. oxygen saturation >92% e. ETT above carina on chest x-ray 2. Which of the following signs the necessitates a definitive airway in severe trauma patients? a. fascial lacerations b. repeated vomiting d. sternal fracture e. Glasgow Coma Scale score of 12 3. Tw...

Exam 1: NUR160 / NUR 160 (Latest 2024 / 2025) Fundamental Concepts of Practical Nursing II Exam Review | Questions and Verified Answers | Already Graded A | Hondros College Q: order for inspecting abdomen Answer: inspect, auscultate, palpate Q: when teaching diabetes what is one thing you want to teach them? Answer: avoid heating pads, wear shoes, heated blankets, don't cut their own nails, dry location, check feet daily Q: orthopenic position Answer: crossed arms on side table Q: if there is...

Glasgow Coma Scale - ANSWER a. Level of Consciousness (LOC) b. Glasgow Coma Scale (GCS) 3-15 Eye Opening - 1- 4 points Best Verbal Response - 1- 5 points Best Motor Response - 1- 6 points Unconscious patient and a rock both get 3 Abnormal Pupillary Findings: Nonreactive, midposition - ANSWER Midbrain Damage Abnormal Pupillary Findings:Nonreactive Pinpoint: - ANSWER Pons Damage Abnormal Pupillary Findings: Reactive, Small & Equal: - ANSWER Damage Affecting Sympathetic Innervati...

1. Which of the following signs is LEAST reliable for diagnosing esophageal intubation? a. symmetrical chest wall movement b. end-tidal CO2 presence by colorimetry c. bilateral breath sounds d. oxygen saturation >92% e. ETT above carina on chest x-ray 2. Which of the following signs the necessitates a definitive airway in severe trauma patients? a. fascial lacerations b. repeated vomiting d. sternal fracture e. Glasgow Coma Scale score of 12 3. Twenty-seven patients are seriously i...

1. A nurse is collecting data from a client who was admitted with a Glasgow Coma Scale of 3. Which of the following findings should the nurse expect? - Nonresponsive Commands 2. A nurse is collecting data from a client who has coronary artery disease. Which of the following manifestations should the nurse identify as an indication that the client has angina - Chest Discomfort Radiated - Pain lasting less that 15mins - Pain that is relieved with rest

MEDSURG VATI ASSESSMENT 90 Q'S AND ALL CORRECT ANSWERSMEDSURG VATI ASSESSMENT 90 Q'S AND ALL CORRECT ANSWERSMEDSURG VATI ASSESSMENT 90 Q'S AND ALL CORRECT ANSWERS A nurse is assisting with the care of four clients. Which of the following clients is the priority for the nurse to see -A client who has chest tubes and an oxygen Sat of 90% - aclient who has peripheral edema and urinary output of 130 over 4hrs - A client who has a permanent pacemaker with heart rate of 76/min -a client w...

Prophecy Medical Surgical Telemetry Questions and Answers 2023/24 Score A+. 1. An adult client experiences a gasoline tank fire when riding a motorcycle and is admitted to the emergency department (ED) with full thickness burns to all surfaces of both lower extremities, What percentage of body surface area should the nurse document in the electronic medical record (EMR)? • 9 % • 18 % • 36 % • 45 % • Rational- according to the rule of nines, the anterior and posterior surfaces ...

NUR NGN HESI RN CAT EXAM TEST BANK 2024 V1&V2 QUESTIONS& ANSWERS 100%correct/verified Graded A+ A client who had an intraosseous (IO) cannula placed by the healthcare providerfor an emergent fluid resuscitation is complaining of severe pain and numbness below the IO site. The skin around the site is pale and edematous. What action should the nurse takes first? a.Discontinue the IO infusion b.Administer an analgesic via the IO site c.Elevate the extremity with the IO site d.Notify the ...