test3

When monitoring cognitive function, the nurse should evaluate the clients

The nurse recognizes normal CSF as

When the nurse is assessing muscle strength and movement its important to

a pt in the ccu is being evaluated for brain disease, what test would determine brain death

a pt is in the hospital with suspected intracerebral hemorrhage, the nurse knows that the pt will have which neuro test ordered

a pt is brought into ED by the rescue squad. the pt was thrown from a vehicle. there was questionable consciousness on the way to the hospital. what neuro test does the nurse expect to see ordered

a pt is in the ED following a head injury, sign of risk of developing IICP is

pt is hit by a swinging bat. this is an eg of

pt was riding in a car that hit a tree, the head hit the windshield the brain rebounded within the skull toward the opposite side

pt admitted with a CVA on admission VS were 120/80 client was awake, BP 150/90 pulse 52, L pupil slower than R

Pt becomes unresponsive. L side of body is flaccid. Dr believes pt had CVA, what is the nurses priority intervention

The nurse is caring for a pt with IICP, the nurse realizes a contraindication is

pt with a spinal cord injury is recovering from spinal shock, the nurse realized that she should not develop a...full bladder because what emergent condition can occur if it is treated quickly

pt with spinal cord injury is recovering from a spinal cord injury has complete paralysis of the upper extremities and lower part of the body. what term describes this

mr. jones is in intensive care following a MVA. he is oriented x3, movement in all extremeties and follows commands, VS stable, which findings indicate the earliest finding of Mr. Jones IICP is increasing

nurse is caring for pt with sustained ICP of 18 mmHg past 30 min. Durng assessment of hygiene intervention what is the best nursing action

nurse is caring for a pt hit by a hammer. pt briefly lost consciousness but now conscious upon arrival at ED with CGS of 15, 1 hr later GCS of 5. what is the best nursing action

nurse assess a pt GCS score to be 3. What is the best interpretation by the nurse

nurse caring for pt with diminished LOC and MV. While performing suctioning, the pt lurches up and grasps catheter. what is the best interpretation by the nurse

nurse admits pt to the ed with a new onset of slurred speech and R sided weakness, what is the priority nursing action

nurse admits pt to ed with a suspected cervical spine injury, what is the priority nursing action

nurse is caring for pt 3 days following a coplete cervical spine injury. the pt is in spinal shock. following emergent intubation and ventilation, what is priority nursing action

nurse is caring for a pt admitted with hypovolemic shock. nurse palpates thready brachial pulse but is unable to auscultate a bp. what is the best nursing action

pt is admitted to CCU following cabbage surgery, pulse 120 BP 70/50, pulmonary artery diastolic pressure is 2 mmHg. Lots of drainage through chest tube total 450 mL

pt admitted after a marathon, she is lethargic, and decreased VS. nurse anticipates which therapeutc intervention

nurse is caring for pt with severe sepsis. 105 degrees. RAP 1 mmHg. assume Dr orders. which intervention should nurse carry out first

pt in ED at most risk for developing shock

HR 13bpm, resp 36, what is priority intervention

during...shock what is the..efect of decrease cardiac output

while monitoring a pt for shock the nurse understands which system is the priority to tx

pt 18 yo with possivle cervical injury. diminished vitals. pt skin is warm and flushed what is the best interpretation of the finding by the nurse

a nurse is admin a continuous infusion of recumbent human actuated protein C (Xigris) for septic shock. what is priority nursing

pt admitted with elevated temp and general malaise, the nurse knows pt may have an infection. which lab value would be increased

pt neutrophil level is 700cell/mL. the nurse is aware that she must adapt her care to focus on

pt presents to the unti with an elevated temp and PNE. nurse knows that the pt lymphocyte count is extremely low. bc of this the nurse realizes that the pt has a decreased

which of the follwoing cells assist the body in blood clotting

pt admitted with temp 103.4 and states that he has generalized body aches and night sweats. these are nonspecific symptoms of

pt is to receive one unit of plateletys to txt thrombocytopenia, his plateley count is 75000 mL after his transfusion, the nurse will expect his count to me

pt with cytolthrombo platetelet of 20000mL is to get multiple transfusions of platelets; the nurse notified the Dr that the pt has a history of febrile reactions with transfusion. the nurse expects

comparing the various tx for DIC, which would be chosed to inhibit thrombin formation

platelet count of less than 100,000mL is termed

most numerous granulocytes are the

pt hematrocrit is 33% and is noted to have significant orthostatic hypotension. nurse anticipates that the physcician will order