The glasgow coma scale - Study guides, Class notes & Summaries

Detailed Answer Key 2024, ATI Oyxgenation Practice with 100Verified Questions and Answers. 1. A nurse is conducting a primary survey of a client who has sustained life-threatening injuries due to a motor-vehicle crash. Identify the sequence of actions the nurse should take. (Move the actions into the box on the right, placing them in the selected order of performance. Use all the steps.) C. Open the airway using a jaw-thrust maneuver. D. Determine effectiveness of ventilator efforts. B. Es...

Med Surg ATI Capstone A nurse on a med surg unit is caring for a group of clients. The nurse should notify the rapid response team for which of the following clients? A. Client who has an ulceration of the right heel whose blood glucose is 300 B. Client who reports right calf pain and shortness of breath C. Client who has blood on a pressure dressing in the femoral area following a cardiac catheterization D. Client who has dark red coloration of left toes and absent pedal pulse - ANS...

ATI PN MED SURG PROCTORED EXAM 2023, PN ATI MED SURG PROCTORED EXAM LATEST 2023.100% SCORES GRADED A+ ATI PN Med Surg Proctored Exam 2023 , PN ATI Med Surg Proctored Exam 2023 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 sho...

Monitor heart. Complications of the heart. - Low potassium (Hypokalemia) Epinephrine, norepinephrine, cortisol. Increase heart rate and increase in blood pressure - Catecholamines - Flight or fight response Plasma protein. It keeps water along with it. Water escapes into interstitial cell space. Swelling. Fluid is in the wrong places. Fluid in the peritoneal cavity. - Function of Albumin - decrease albumin - ascites Sodium and water retention - Function of aldosterone extracellular, inters...

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 medication d. encourage the client to increase fluid intake e. instruct the client to perform deep breathing and coughing exercises - Answer b. assist the cli...

HESI CAT EXAM /CAT HESI EXAM EXIT LATEST UPDATE REAL EXAM QUESTIONS AND ANSWERS/HESI COMPUTERIZED ADAPTIVE TESTING (CAT HESI) 1-A 59-year-old male client is brought to the emergency room where he is assessed to have a Glasgow Coma Scale of 3. Based on this assessment, howshould the nurse characterize the client’s condition? a. The client has increased intracranial pressure b. He has a good prognosis for recovery c. This clientis conscious, but is not oriented to time and place d....

  lOMoARcPSD|5967629 2024/2025 RASMUSSEN UNIVERSITY MDC IV (NUR2755) MDC4 FINAL EXAM 100 QUESTIONS AND ANSWERS VERIFIED 100%;(GUARANTEED SUCCESS ) MDC4 Final Exam 1. Which of the following describes the process of initial surveillance of victims injury severity when administering first aid in an emergency situation? A. The Good Samaritan law B. an emergency interview C. Triage D. taking vital signs 2. The nurse reminds a group of certified nursing assistants (CNA) that for ...

ATI RN MENTAL HEALTH 2019 WITH NGN 100% PASS WITH RATIONALES LATEST UPDATES QUESTION AND ANSWERS. A charge nurse is discussing mental status exams with a newly licensed nurse. Which of the following statements by the newly licensed nurse indicates an understanding of the teaching? (Select all that apply) A. "To assess cognitive ability, I should ask the client to count backward by sevens." B. "To assess affect, I should observe the client's facial expression." C. "To assess language ...

2024 NUR HESI EXIT RN CAT EXAM QUESTIONS& ANSWERS 100%correct/verified Graded A+ NGN 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 healthcar...

A client presents with a headache and complaining of vision difficulties. Which cranial nerve might be defective in this client? A) VIII (Vestibulocochlear) B) VII (Facial) C) XI (Accessory) D) III (Oculomotor) Answer: D A client presents to the ED with loss of consciousness. The RN evaluates the client using the Glasgow Coma Scale. The results are as follows: Eyes open to speech Abnormal flexion of extremities Use of inappropriate words What would the RN estimate this clie...