A nurse reviews a medical record of a patient who has had a stroke and notes that the medication route has been changed from parenteral to oral. Before administering the oral medications, which cranial nerves should the nurse assess?
The nurse is assessing a patient’s hearing problems. What ac…
The nurse is assessing a patient’s hearing problems. What actions should the nurse take in order to perform the assessment? Select all that apply.
The vital sign assessment of a person with a head injury was…
The vital sign assessment of a person with a head injury was temperature (T), 97° F; pulse (P), 86; respiration (R), 18; and blood pressure (BP), 140/86 at 1:00. The assessment made 30 minutes later that is indicative of increasing intracranial pressure (ICP) is:
Which are components of a secondary intracranial injury? Sel…
Which are components of a secondary intracranial injury? Select all that apply.
When performing a focused assessment on a patient with a les…
When performing a focused assessment on a patient with a lesion of the left posterior temporal lobe, the nurse will assess for
Assessment of a client’s visual acuity reveals that with his…
Assessment of a client’s visual acuity reveals that with his left eye he can see 30 feet what a person with normal vision can see at 70 feet and with his right eye he can see 40 feet what the person with normal vision can see at 60 feet. How would the nurse record these findings?
Which nursing intervention is most appropriate for facilitat…
Which nursing intervention is most appropriate for facilitating communication with a patient who has a hearing impairment?
The nurse is calculating the cerebral perfusion pressure (CP…
The nurse is calculating the cerebral perfusion pressure (CPP) of an unconscious patient. The patient’s blood pressure is 162/58 mm Hg and intracranial pressure (ICP) is 35 mm Hg. What is the patient’s CPP? Record your answer using a whole number.
After providing education to a patient with otosclerosis, th…
After providing education to a patient with otosclerosis, the nurse determines that the teaching was effective when the patient states that the hearing loss is due to what?
The nurse is caring for an older adult patient. Which geront…
The nurse is caring for an older adult patient. Which gerontologic findings of the visual system does the nurse anticipate may be present? Select all that apply.