Glasgow coma scale 13 15 Study guides, Class notes & Summaries

A nurse is caring for a client who has hypertension and a new prescription for chlorthalidone. The nurse should monitor for which of the following adverse effects? A. Hypokalemia B. Euphoria C. Hypoglycemia D. Intraocular pressure 11) A nurse in an emergency department is caring for a client following a motor-vehicle crash. The client's Glasgow coma scale is 15. Which of the following findings should the nurse expect? A. The client is orientated times 3 B. The client is unable to ...

1. A nurse is caring for a client who is receiving chemotherapy and requests information about acupuncture to relieve some of the side effects. Which of the following findings should the nurse identify as a contraindication to receiving this alternative therapy? Lymphedema 2. A nurse is preparing to administer lactated Ringer's via continuous IV infusion at 200 ml/hr. The IV tubing has a drop factor of 10 drops/mL. How many gtt/min should the nurse set the IV ump to administer? 33 3...

NUR 211 FINAL EXAM, HEALTH ASSESSMENT | Questions and Answers | Latest Graded A+ (2023/2024) While assessing edema on a client’s lower leg, the nurse notices a deep imprint of his fingers where the leg was palpated which takes several minutes to resolve. How would the nurse document this finding? Answers : No edema 1+ edema 3+ edema 4+ edema Question 9 1.5 out of 1.5 points The nurse is performing an assessment on an older client having difficulty sleeping at night. Which stateme...

PHTLS Post test 9th edition Exam 2023 Questions with Answers 1. The displacement of tissue away from the path of a projectile, both tem- porarily and permanently, is known as: A. Conization B. Cavitation C. Crepitation D. Contusion: B. Cavitation 2. The single most important factor in determining the potential for injury due to energy exchange is: A. Mass of the bodies involved B. Velocity of the bodies involved C. Density of the tissues involved D. Surface area of t...

ATI RN Medical-Surgical Proctored Exam 2019 Retake 1. A nurse is caring for a client who is receiving chemotherapy and requests information about acupuncture to relieve some of the side effects. Which of the following findings should the nurse identify as a contraindication to receiving this alternative therapy? Lymphedema 2. A nurse is preparing to administer lactated Ringer's via continuous IV infusion at 200 ml/hr. The IV tubing has a drop factor of 10 drops/mL. How many gtt/min shoul...

1. The Glasgow Coma Scale (GCS) assesses what areas of response to stimuli? Select all that apply:(Required) A. Auditory response B. Verbal response C. Tactile response D. Eye-opening response E. Motor response correct answers B. Verbal response D. Eye-opening response E. Motor response The Glasgow Coma Scale (GCS) assesses THREE areas of a patient's response to stimuli. This includes eye-opening response (E), verbal response (V), and motor response (M). 2. During the Glasgo...

ATI Adv. Med-surg FINAL EXAM 1. A nurse in a burn treatment center is caring for a client who is admitted with severe burns to both lower extremities and is pending an escharotomy. The client’s spouse asks the nurse what the procedure entails. Which of the following nursing statements is appropriate? a. “large incisions will be made in the eschar to improve circulation” b. “ I can call the doctor back here if you want me to” c. “a piece of skin will be removed and grafted ov...

* Glasgow Coma Scale (GCS) 3-8 - Severe TBI; normal or abnormal structural imaging. LOC over 24 hours, post traumatic amnesia over 7 days * Glasgow Coma Scale 9-12 - Moderate TBI; LOC over 30 minutes but less than 24 hours; alteration of consciousness over 24 hours, post traumatic amnesia more than 1 day but less than 7 days * Glasgow Coma Scale 13-15 - Mild TBI; normal imaging; LOC 0-30 minutes, alteration of consciousness up to 24 hours, post traumatic amnesia up to 1 day * 3 parts of n...

8 core measures for ischemic stroke care - venous thromboembolism prophylaxis, antithrombotic therapy, anticoagulation therapy for afib/flutter, thrombolytic therapy (for thrombotic stroke of <4hrs from symptom onset), discharge on statin meds, stroke education, assess for rehab A loss of consciousness from an epidural or subdural hematoma - is a neurosurgical emergency A right hemiplegia (paralysis) or hemiparesis (weakness), indicates a stroke involving which cerebral hemisphere? - lef...

PICC Study Exam Questions & Answers 2024/2025 b. 24 Hours - ANSWERSThe initial gauze and tegaderm dressing should be changed _____ hours after PICC insertion: Select one: a. 72 Hours b. 24 Hours c. 96 Hours d. With weekly dressing changes d. 5 - ANSWERSWhich of the following Glascow Coma Scale Results would indicate a severe brain traumatic injury? Select one: a. 10 b. 15 c. 12 d. 5 a. 15 - ANSWERSWhat is the best score you can have for a Glasgow Coma Scale? Select o...