A nurse is assessing a 10-month-old infant during a well-baby check-up. The infant does not respond to loud noises, has not started babbling, and does not localize sounds. Which type of impairment is most likely?  

A nurse is teaching a group of nursing students about the importance of broad-spectrum antibiotics in preventing and treating eye infections, particularly in newborns. Which of the following statements is correct regarding the use of broad-spectrum antibiotics in relation to gonococcal ophthalmia neonatorum?

An older adult client with a history of dizziness and balance issues is being discharged home. Which of the following nursing interventions is most important for reducing the client’s risk of falls?

A pediatric nurse is assessing a 5-year-old child who has been diagnosed with strabismus. The child’s parent expresses concern about the child’s ability to focus and see properly. Which of the following nursing interventions should the nurse prioritize to support the child’s condition?

A nurse is preparing to administer echothiophate eye drops to a client. Which of the following actions should the nurse take to ensure safe and effective administration of the medication?

A nurse is educating a patient diagnosed with allergic sinusitis about effective self-care measures to promote sinus drainage and prevent exacerbations. Which of the following statements made by the patient indicates a correct understanding of the nurse’s instructions?

A nurse is administering timolol eye drops to a client with primary open-angle glaucoma (POAG). What is the primary expected outcome of this medication?

Scenario:You and your partner are dispatched to a motor vehicle collision (MVC) involving a 55-year-old male driver. Upon arrival, you find the patient slumped in his seat with a significant deformity to the windshield and dashboard, suggesting a high-speed impact. There is no obvious external bleeding, but the patient appears to have suffered a head injury.The patient is unconscious, with no response to verbal or painful stimuli. His breathing is irregular, with deep, labored breaths, and he has a slow heart rate of 44 bpm. Blood pressure is 190/60 mmHg, and his Glasgow Coma Scale (GCS) score is 6. You also notice that his pupils are unequal, and his arms and legs exhibit decerebrate posturing.Given the nature of the accident and the patient’s declining status, you quickly initiate spinal precautions and begin managing the airway, recognizing that the patient is showing signs of Cushing’s triad. You secure the patient on a backboard and place him in a semi-Fowler’s position (head elevated at 30 degrees). Oxygen is applied via a non-rebreather mask at 15 LPM to maximize oxygenation.During transport, you continue to monitor the patient’s vital signs and respiratory status. The patient’s condition remains critical, with continued irregular breathing and bradycardia. You ensure rapid transport to the nearest trauma center, providing the receiving team with a full report, including the signs of increased intracranial pressure (ICP) and the prehospital interventions provided.Post-scene Phase QuestionDuring the hospital handoff, the physician asks about any interventions to control ICP during transport. Which intervention would be most relevant to mention?

Scenario: You and your partner are dispatched to a rural area for a 30-year-old male who fell from a height of approximately 20 feet while working on a construction site. Upon arrival, the patient is found lying supine on the ground, unable to move his legs. He reports severe neck pain, and you note that he has no sensation or motor function below the waist. He also mentions tingling in his arms and difficulty breathing.The patient appears pale and is breathing rapidly. His vital signs are as follows:Blood pressure: 88/56 mmHgPulse: 56 bpmRespirations: 24 breaths per minuteGlasgow Coma Scale (GCS): 15 (fully alert)The mechanism of injury (fall from a height) suggests the possibility of spinal cord injury. Your initial assessment reveals suspected neurogenic shock, with hypotension and bradycardia. You quickly stabilize the patient, apply a cervical collar, and use a backboard with spinal immobilization. Oxygen is applied via non-rebreather mask at 15 LPM.As you prepare for transport, the patient’s condition remains stable but concerning, and you suspect a thoracic spinal cord injury due to the loss of motor function in the legs and upper extremity weakness. You initiate IV fluids cautiously to address hypotension.En-Route Phase QuestionIn a patient with neurogenic shock, which of the following would be most concerning?

Matching: Match the spinal cord syndrome to its correct description or key characteristics.