Which assessment data would indicate to the nurse that the client would be at risk for a hemorrhagic stroke?

A nurse monitoring a client who has sustained a head injury would determine that the intracranial pressure (ICP) is rising if which of the following vital sign trends is noted during the course of the work shift?

A patient complaining of episodic headaches describes the pain as 10 (on a scale of 1 to 10), located on the left side, accompanied by nausea, and lasting 2 to 3 days.  These signs and symptoms are consistent with which type of headache?

An appropriate nursing intervention for the patient following cataract surgery is to

Following an esophagogastroduodenoscopy (EGD), the patient asks for orange juice. Before allowing the patient to have fluids, what is essential for the nurse to do first?

A 19-year old is brought to the ED with sudden onset of high fever, nuchal rigidity, and vomiting. The priority nursing intervention is:

In doing a breath sound assessment on a client who has left ventricular failure, the nurse would anticipate the finding of?

A nurse is performing an assessment of a 7-year-old child who is suspected of having episodes of absence seizures.  Which of the following assessment questions to the mother will assist in providing information that will identify the symptoms associated with this type of seizure?

When a patient with suspected acute ischemic stroke arrives in the ED, which brain study should be performed within 25 minutes?

An emergency department (ED) nurse receives a report that an incoming patient has a Glasgow Coma Scale (GCS) score of 8. Which is the most appropriate action by the nurse?