The nurse is caring for a hospitalized client who has had a stroke and is waiting to be transferred to a rehabilitation facility.  What nursing action can best maximize the clients rehabilitation potential while awaiting the transfer?

During admission of a 58 year old client with a possible brain injury after a boating accident, the emergency department nurse learns that the client is on the following medications.  Which medication is most important to report to the health care provider?

After teaching the wife of a client who has Parkinson disease, the nurse assesses the wife’s understanding. Which statement by the client’s wife indicates that the teaching is effective?

When assessing a client with a head injury, the nurse recognizes which of the following as early indicators of increased intracranial pressure (ICP)? (Select all that apply.)

A client who experienced head trauma yesterday is maintaining an intracranial pressure reading of 21. Select all medications that are appropriate in the management of patients with acute brain trauma. (Select all that apply)

A client’s intracranial pressure (ICP) is 22 mmHg.  Which of the following nursing interventions is the most appropriate?

The nurse needs to increase the dopamine dose from 5 mcg/kg/min to 10 mcg/kg/min. The client weighs 200 lbs.  The med concentration is 400 mcg/ml.  How many ml/hr should the Dopamine infuse to provide 10 mcg/kg/min?

The HCP orders 0.25 grams of Ceftriaxone Sodium IM now for your client. You have a 10 ml vial with a concentration of 100mg/ml solution. How many mls will you administer?

The doctor ordered 1 unit of packed red blood cells (about 250 ml) to infuse over 2 hours.  How many ml/hr should the nurse program on the IV pump?

A client is receiving an infusion of tissue plasminogen activator (t-PA)  for an acute ischemic stroke. The client begins to mumble and is disoriented. What action by the nurse takes priority?