A nurse is caring for a client who has a spinal cord injury. The nurse suspects that the client has autonomic dysreflexia when their blood pressure suddenly elevates and their face becomes flushed. Which of the following actions should the nurse take first?
A nurse is collecting data from a client who has meningitis….
A nurse is collecting data from a client who has meningitis. When passively flexing the client’s neck, the nurse notes an involuntary flexion of both legs. Which of the following conditions is the client displaying?
The nurse is providing eye care for a patient with Bell’s pa…
The nurse is providing eye care for a patient with Bell’s palsy. Which of the following nursing actions is most appropriate to help protect the affected eye?
Which of the following occur during a sympathetic nervous sy…
Which of the following occur during a sympathetic nervous system response?
A nurse is reinforcing discharge instructions for a client f…
A nurse is reinforcing discharge instructions for a client following a laminectomy. Which of the following instructions should the nurse include?
A nurse is reinforcing teaching with the family of a client…
A nurse is reinforcing teaching with the family of a client who is in a halo fixation device. Which of the following statements should the nurse make?
A nurse is caring for a client who has increased intracrania…
A nurse is caring for a client who has increased intracranial pressure. Which of the nursing interventions should the nurse take?
A nurse is reinforcing teaching with a client who is schedul…
A nurse is reinforcing teaching with a client who is scheduled for a CT scan of the head with contrast. Which of the following statements by the client should the nurse identify as understanding of the teaching?
The nurse is providing care for a patient with symptoms of i…
The nurse is providing care for a patient with symptoms of impending stroke who is scheduled to have a cerebral angiogram. Which of the following statements would the nurse include when assisting with patient teaching?
The nurse is caring for a patient who has impaired functioni…
The nurse is caring for a patient who has impaired functioning of the left glossopharyngeal (IX) nerve and the vagus (X) nerve. What intervention should the nurse plan to maintain the patient’s safety while diagnostic testing is being completed?