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Author Archives: Anonymous

A left-handed patient with left-sided hemiplegia has difficu…

A left-handed patient with left-sided hemiplegia has difficulty feeding himself. Which intervention should the nurse include in the plan of care?

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Which nursing action has the highest priority for a patient…

Which nursing action has the highest priority for a patient who was admitted 16 hours earlier with a C5 spinal cord injury?

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What are the three elements of Cushing’s triad seen in patie…

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

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A patient with a left-brain stroke suddenly bursts into tear…

A patient with a left-brain stroke suddenly bursts into tears when family members visit. The nurse should

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An unconscious patient with a traumatic head injury has a bl…

An unconscious patient with a traumatic head injury has a blood pressure of 130/76 mm Hg and an intracranial pressure (ICP) of 20 mm Hg. The nurse will calculate the cerebral perfusion pressure (CPP) as [1] ____ mm Hg. Is this considered adequate? [2]

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A patient in the clinic reports a recent episode of dysphasi…

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

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The nurse is caring for a client in the neurologic intensive…

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?

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When assessing a patient with a head injury, the nurse recog…

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

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The nurse is caring for a patient who has a head injury. Whi…

The nurse is caring for a patient who has a head injury. Which finding, when reported to the health care provider, should the nurse expect will result in new prescribed interventions?

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The order reads Cimetidine 300 mg IM. The drug comes in a vi…

The order reads Cimetidine 300 mg IM. The drug comes in a vial noting 300mg/mL. How many mL’s do you administer?

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