A nurse assesses a client with a traumatic brain injury (TBI…
A nurse assesses a client with a traumatic brain injury (TBI). The client opens his eyes and decerebrate postures to sternal rub, and has no verbal response to any stimulation. How will the nurse document this client’s Glasgow Coma Scale (GCS)?
Read DetailsAfter receiving a handoff report from the night shift, the n…
After receiving a handoff report from the night shift, the nurse completes the morning assessment of a client with severe sepsis. Vital signs are: blood pressure 95/60 mm Hg, heart rate 110 beats/min, respirations 32 breaths/min, oxygen saturation (SpO2) 96% on 45% oxygen via Venturi mask, temperature 101.5° F, central venous pressure (CVP) 2 mm Hg, and urine output of 10 mL for the past hour. The nurse initiates which provider order first?
Read DetailsA new patient just transferred from an acute hospital to the…
A new patient just transferred from an acute hospital to the inpatient rehabilitation facility (IRF) where you work. Medical records and reports mention that the patient has Broca’s aphasia. Statements in the record that are consistent with this patient’s communication disorder include:
Read DetailsYou are planning to conduct an assessment with a 25-year-old…
You are planning to conduct an assessment with a 25-year-old who presents with concerns in the area of visual perception. You want to use an assessment to discern what area(s) of visual perception are causing occupational performance difficulties. The BEST tool to choose is:
Read Details