A nuchal rigidity - Study guides, Class notes & Summaries

The nurse is caring for a patient who sustained a traumatic brain injury 4 days ago. The patient remains in a pharmacologic induced coma while receiving mechanical ventilation. The patient is on NPO status and the vital signs are within the normal range. The patients bowel sounds are absent and nasogastric tube is connected to low, intermittent suction. The nurse should prepare to begin: a. NG feeding b. Rapid weaning from the ventilator c. Total parenteral nutrition d. Chest physiotherapy...

ECCO Caring for Patients with Neurologic Disorders Part 2 patient who fell and sustained a traumatic brain injury is admitted. The patient is unconscious and has a GCS score of 6. Which of these is the main priority? Endotracheal intubation Which of the following patient is at greatest risk for development of an aSAH? A patient: Who uses methamphetamine. A patient with a history of hypertension reports nausea, "a terrible headache," and numbness and weakness of the right arm and leg. What neu...

Question:- Meningitis and infants {{Correct Ans- Alterations in temperature, vomiting seizures and nuchal rigidity Question:- Heart Failure what action should the nurse initially take {{Correct Ans- Breath sounds Question:- EMTALA states that {{Correct Ans- Clients should be stable before they can be discharged. Prohibits refusing to care for clients who are uninsured. Question:- How to prevent vasovagal response {{Correct Ans- Avoid bearing down, use an arm reacher to grab items, avoid using co...

BSN 266 HESI V2 ALREAD RATED A+ Neutrophil count- The patient is experiencing infection, so a nurse should review the neutrophil count before contacting the HCP. While caring for a client with full thickness burns covering 40% of the body, the nurse observes purulent drainage from the wounds. Before reporting the finding, what is the best lab value to evaluate? Demonstrate the use of visual scanning during meals to the client and family. An older woman who experienced a cerebrova...

Final Exam: NUR254/ NUR 254 (Latest 2024/ 2023 Update) Childbearing and Child Caring Families Review| 100% Correct| Grade A- Galen Q: Retinoblastoma care after Nucleation change eye patch daily prosthesis in 3-4 weeks help w/ coping normal: bruising/edematous red flag: bright red drainage Q: Ferrous sulfate PO Answer: -use straw ( stains teeth) take on empty stomach Add vit C helps w/ absorption NO calcium inhibits absorption Some foods: fortified cereal, shellfish, orga...

(NGN) NEXT GENERATION HESI EXIT EXAM TEST BANK 2024/LATEST ACTUAL EXAM WITH 500 QUESTIONS AND CORRECT DETAILED ANSWERS AND RATIONALES (100% VERIFIED ANSWERS) ALREADY GRADED A+ A client who sustained a head injury following an automobile collision is admitted to the hospital. The nurse include the client's risk for developing increased intracranial pressure (ICP) in the plan of care. Which signs indicate to the nurse that ICP has increased? - ANSWER>>Increased Glasgow coma scale sc...

ATI RN COMPREHENSIVE PREDICTOR RETAKE 2019 180 Correct Questions & Answers GRADED A/LATEST VERSION 2023/2024 1. A nurse is assessing a client who received 2 units of packed RBCs 48 hr. ago. Which of the following findings should indicate to the nurse that the therapy has been effective? a. Hemoglobin 14.9 g/dl b. WBC count 12000/mm3 c. Potassium 4.8 mEq/L d. BUN 18 mg/dl 2. A nurse working in an emergency department is triaging four clients. Which of the following clients shou...

PMHNP Exam 2024/2025 | 133 questions with complete solutions 100% Solved| answers well highlighted | Guaranteed Success Reflexes expected at 1 month Moro until 4 months, Palmer until 4 months, Plantar util 8 months, Babinski (2 years is disease) Signs of fetal alcohol syndrome small head, shoey palpebral fissure, inner epicanthal folds. Do IEP and early intervention specialist Rhett Syndrome a rare disorder found virtually exclusively in girls, is a neurodevelopmental disorder in which the...

Exam 2: NSG233 / NSG 233 (Latest 2024 / 2025 Update) Medical-Surgical Nursing III / Med Surg 3 Exam | Questions and Verified Answers | 100% Correct | Grade A - Herzing Q: Pushes the painful stimulus away Answer: Expected response to painful stimulus in motor function assessment. Q: Adjust the client's head of bed Answer: Action to maintain cerebral perfusion pressure in severe traumatic brain injury. Q: Reduce edema of the brain Answer: Purpose of administering osmotic diuretic to client with i...

What are the 3 types of dispositions? - Correct answer-Discharge, Admit, Transfer What does HPI stand for? - Correct answer-history of present illness What does ROS stand for? - Correct answer-review of systems The HPI and ROS are considered what type of information? - Correct answer-subjective The physical exam is what type of information? - Correct answer-objective If a physician told you a patient's abdomen was non tender, where would you document this? - Correct answer-PE What sectio...