A nurse on a pediatric floor is getting report from the night shift nurse. Which of the following clients should the nurse assess first? 

The nurse is caring for a patient in the ICU who has a brain stem herniation and who is exhibiting an altered level of consciousness. Monitoring reveals that the patient’s mean arterial pressure (MAP) is 60 mmm Hg with an intracranial pressure (ICP) reading of 5 mm Hg. What is the nurse’s most appropriate action?

While completing a health history on a patient who has recently experienced a seizure, the nurse would assess for what characteristic associated with the postictal state?

What information given by a 70-year-old patient during a health history indicates to the nurse that the patient should be screened for hepatitis C?

The client recovering from a head injury is arousable and participating in care. The nurse determines that the client understands measures to prevent elevations in intracranial pressure if the nurse observes the client doing which of the following activities?

To achieve accuracy in the assessment of head-injured patients, the nurse realizes it is important:

The nurse is caring for a patient who is in status epilepticus. What medication does the nurse know may be given to halt the seizure immediately?

The nurse has given instructions to the client with Parkinson’s disease about maintaining mobility. The nurse determines that the client understands the directions if the client states that he or she will:

What action should the nurse in the emergency department take first for a new patient who is vomiting blood?

The nurse explains to a curious client that severe diarrhea associated with ulcerative colitis places the client at risk for developing