• After striking his head on a tree while falling from a ladder, a young man age 18 is
admitted to the emergency department. He’s unconscious and his pupils are
nonreactive. Which intervention would be the most dangerous for the client?
• Give him a barbiturate
• Place him a mechanical ventilation
• Perform a lumbar puncture
• Elevate the head of his bed
• When obtaining the health history from a male client with retinal detachment, the nurse
expects the client to report:
• Light flashed and floaters in front of the eye
• A recent driving accident while changing lanes
, • Headaches, nausea, and redness of the eyes
• Frequent episodes of double vision
• Which nursing diagnosis takes highest priority for a client with Parkinson’s crisis?
• Imbalanced nutrition: less than body requirements
• Ineffective airway clearance
• Impaired urinary elimination
• Risk for injury
• To encourage adequate nutritional intake for a female client with Alzheimer’s disease,
the nurse should:
• Stay with the client and encourage him to eat
• Help the client fill out his menu
• Give the client privacy during meals
• Fill out the menu for the client
• The nurse is performing a mental status examination on a male client diagnosed with
subdural hematoma. This test assesses which of the following?
• Cerebellar function
• Intellectual function
• Cerebral function
• Sensory function
• Shortly after admission to an acute care facility, a male client with a seizure
disorder develop status epilepticus. The physician orders diazepam (Valium) 10
mg I.V. stat. How soon can the nurse administer a second dose of diazepam, if
needed and
prescribed?
• In 30 to 45 seconds
• In 10 to 15 minutes
• In 30 to 45 minutes
• In 1 to 2 hours
• A female complains of periorbital aching, tearing, blurred vision, and photophobia
in her right eye. Ophthalmologic examination reveals a small, irregular, nonreactive
pupil - a condition resulting from acute iris inflammation (iritis). As part of the
client’s therapeutic regimen, the physician prescribes atropine sulfate (Atropisol),
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