The nurse is caring for a patient with  autonomic dyseflexia. The nurse should assess the patient for which conditions or situations? (Select all that apply.)

Which of the following are symptoms characteristic of cluster headaches:

A patient who has sustained a hemorrhagic stroke is placed on a protocol of 60 mg of calcium channel blocker (nimodipine) every 4 hours. The patient’s pulse is 82 beats/min before the administration of the prescribed dose. Which action should the nurse implement?

A nurse is updating a teaching plan for a patient who sustained a TIA. Which information should the nurse be sure to include?

A patient who has severe Alzheimer’s disease is being admitted to the hospital for surgery. Which intervention is most important for the nurse to include in the care plan?

A nurse is caring for a patient with meningitis who has a positive Brudzinski sign. Which assessment led to this conclusion?

A nurse is teaching a newly diagnosed epileptic client about anticonvulsant medications. The nurse should include information to

When assessing a 53-year-old patient with bacterial meningitis, the nurse obtains the following data. The nurse recognizes all of the following as symptoms of bacterial meningitis.  Which finding is most important to report to the physician immediately?

The high pressure alarm is sounding on a home ventilator. As your partner prepares the bag-valve mask, you quickly determine that no problem exists with the machine itself. As positive pressure ventilation is initiated, you note high resistance to the ventilations and have a difficult time adequately squeezing the bag. Your next action would be to:

You have been called for a 27-year-old female who is 32 weeks pregnant. She states that she is experiencing uterine contractions but feels no pain with them, just a tightening in her abdomen. The contractions began three days ago and seem to be increasing in frequency today. She denies discharge or rupture of her membranes. Given this presentation, you should recognize: