Nursing care for iicp - Study guides, Class notes & Summaries

Spinal Cord Injury NCLEX Questions Whit Correct Answers (A+GRADED) A patient with a spinal cord injury at the T1 level complains of a severe headache and an "anxious feeling." Which is the most appropriate initial reaction by the nurse? 1. Try to calm the patient and make the environment soothing. 2. Assess for a full bladder. 3. Notify the healthcare provider. 4. Prepare the patient for diagnostic radiography. Correct Answer: 2 Rationale: Autonomic dysreflexia occurs in patients wi...

Adult Health 2 - Increased ICP NCLEX A+ The nurse is caring for a patient with increased intracranial pressure (IICP). The nurse realizes that some nursing actions are contraindicated with IICP. Which nursing action should be avoided? 1. Reposition the patient every two hours. 2. Position the patient with the head elevated 30 degrees. 3. Suction the airway every two hours per standing orders. 4. Provide continuous oxygen as ordered. ️Correct Answer: C Rationale: If the drainage i...

Decreased LOC - Answer Abnormal finding for 88 year old female Postictal period (Ton-clonic/ grand mal) Generalized - Answer Sleeping for a long period after a seizure indicates For headaches - Answer Why does the patient have to lie flat after a lumbar puncture Common symptoms of a herniated disc would be - Answer Pain in the lower back radiating down the back of the leg to the foot (nerve root pain) What is ruptured Intervertebral Disc - Answer Injury causes part of the disc to squ...

NR 325 MED SURG 2 EXAM (QUESTIONS AND ANSWERS) 2023/2024 alterations in the nervous system affect - CORRECT ANSWER-communication, decision making, mobility, respiratory system, ability for self-care changes in the nervous system as we age - CORRECT ANSWER-ability to submit impulse ability to interpret impulse memory loss decrease in coordination decrease in ability to sense temperature change decrease in neurons increases risk for falls decrease in making and flow of CSF decrea...

PEDIATRIC EXIT HESI 1 yr old child with neuroblastoma crying continuously and curled into a fetal position. Most important Give a prescribed analgesic Mother brings her newborn to the well clinic for the 1 month check-up. Nurse reviews infant record and identifies that received first dose of HBV immunization on discharge. When should next be During this visit, one month of age When obtaining a throat culture from a 6 yr old with possible strep, which action Swab the child’s erythemat...

NCSBN TEST BANK ON-LINE REVIEW EXAM-2022 These Questions are the most repeated Questions in 2019,2020,2021 & 2022 Actual exam} 1.A client has been hospitalized after an automobile accident. A full leg cast was applied in the emergency room. The most important reason for the nurse to elevate the casted leg is to A) Promote the client's comfort B) Reduce the drying time C) Decrease irritation to the skin D) Improve venous return D: Improve venous return. Elevating the leg both imp...

Multiple Questions with Answers Question 1 A c. What document should be in guiding the care of this client? A) Client Self Determination Act B) Physician's treatment orders C) Advance Directives. D) Clinical Pathway protocols Review Information: The correct answer is: C) Advance Directives. This document speci$es the client's wishes Question 2 You are the of a health care team that consists of one licensed practical/vocational nurse, one nursing assistant ,...

Multiple Questions with Answers Question 1 A c. What document should be in guiding the care of this client? A) Client Self Determination Act B) Physician's treatment orders C) Advance Directives. D) Clinical Pathway protocols Review Information: The correct answer is: C) Advance Directives. This document speci$es the client's wishes Question 2 You are the of a health care team that consists of one licensed practical/vocational nurse, one nursing assistant ,...

The nurse is caring for a client who just been brought into the emergency department after a myocardial infarction. Which action is the priority for this client? a. Administer pain medications. b. Begin educating the client about what to expect in the cath lab. c. Administer 2-4L oxygen by nasal cannula. d. Obtain an electrocardiogram. c The nurse is preparing discharge instructions for a client diagnosed with acute coronary syndrome. Which is an expected outcome when effective cli...

Multiple Questions with Answers Question 1 A c. What document should be in guiding the care of this client? A) Client Self Determination Act B) Physician's treatment orders C) Advance Directives. D) Clinical Pathway protocols Review Information: The correct answer is: C) Advance Directives. This document speci$es the client's wishes Question 2 You are the of a health care team that consists of one licensed practical/vocational nurse, one nursing assistant ,...