The family calls the nurse into a client room. The client is diagnosed with metastatic brain tumor and is presenting with generalized rhythmic clonic movements and is vomiting. What action(s) should the nurse take?  Select all that apply.

A nurse working in an outpatient clinic is assessing a client complaining of a persistent, severe, headache. Which action would the nurse perform first?

The nurse is caring for a client diagnosed with Huntington’s disease.  When providing education to the client and the family, the nurse knows education was effective when the client states which of the following?

The nurse is caring for a client with Multiple Sclerosis (MS) taking an anti-cholinergic, benztropine, to control the disease symptoms.  When providing medication instructions, the nurse includes which in the teaching plan intervention to help the client with anticipated effects of the medication?

When performing a postoperative assessment on a client who has undergone surgery with a ventriculostomy to monitor intracranial pressure.  The priority nursing action is to implement which nursing intervention? START HERE

A client is brought by ambulance to the emergency room and presentation is indicative of a stroke.  The nurse caring for this client is aware that contraindication for thrombolytic therapy includes the following. Select all that apply.

A nurse is caring for a client at risk for increased intracranial pressure (ICP).  What assessment finding(s) are early signs of an increased ICP?

The nurse is caring for a client with a recent diagnosis of myasthenia gravis beginning treatment with pyridostigmine bromide. Which finding would indicate the client is receiving therapeutic benefit from the treatment regimen?

The nurse is caring for a client diagnosed with a subarachnoid hemorrhage resulting from an aneurysm. The client is awaiting surgery. The new graduate on the unit is reviewing appropriate interventions for this client. Which of the following interventions would the nurse question? 

A client found unconscious on the street was brought into the ER by paramedics. Upon arrival the client exhibits seizure activity for over 3 minutes and is intubated. There is no medical information available.  The client’s vital signs are Temperature: 99.0 °F Heart Rate: 120, Respiratory Rate 16 BP: 160/90  O2 Sat: 95% but seizures continue. Which medication would the nurse anticipate immediately administering to the client?