Match the following assessment technique with the correct cranial nerve.

Homemade diets are a risk for pets due to vitamin-mineral imbalances as well as poisoning from the addition of garlic or onion powder by owners.  Commerial diets have been known to poison our pets through contamination with _____________________.

A client is admitted to the neurology intensive care unit after suffering a traumatic brain injury and spinal cord injury from diving into the lake head first. The healthcare provider orders mannitol to be infused. Which of following assessments should the nurse perform on a client receiving this medication? Select all that apply. 

A cat on intravenous fluids must receive 30 ml/hr normal saline. If this cat has a drip set that provides 60 drops/ml, what should the drip rate be?

23-year-old male with a history of type I diabetes presented to the emergency department due to a change in mental status. Nurses’ Notes   1200. 23-year-old male with a history of diabetes type I brought to the emergency department by spouse for changes in mental status from his baseline. The client’s wife reports that he woke at 0600 to complete his morning routine. At approximately 1100 he became unaware of his surroundings and began sweating profusely and slurring his words. Breath sounds are clear but noted with a fruity citrus odor and deep rapid respirations. Sinus tachycardia per cardiac monitor. He is awake and alert, pupils equal and reactive to light. Weight 205lbs (93kg)  1215. Voided 30mL dark amber urine sent for urinalysis. Comprehensive metabolic panel, CBC, and ABG. IV of normal saline started. Capillary glucose is 440. 1230 Transferred to ICU. IV fluids bolus given. 1300: Started on maintenance IV fluids and insulin drip. 1330: Capillary glucose 435. Awake, alert, oriented to person and place, talking in full complete sentences. Denies pain. Breath sounds are clear. Voided 300mL clear color urine.   Vital Signs   Time 1200 1215 1330 1330 Temp 99.5° F (37.5 °C) 99.5° F (37.5 °C) 98.9°F (37.1 °C) 98.9°F (37.1 °C) P 118 115 105 100 RR 32 30 30 24 B/P 89/52 92/56 100/70 109/70 Pulse oximeter 89% on RA 92% on 2L NC 94% on 2L NC 95% on 2L NC Medications   Humalog insulin sliding scale with meals   Lantus 10 units QHS       Laboratory Report   Lab Results 1200  Results 1400                          Reference range   ABG pH 7.20             7.3                           7.35-7.45   ABG PC02 45             35                      35-45 mmHg   ABG HC03 32             24                     22-26 mEq/L   Anion Gap 26             18                     

A 46-year-old woman presents in the emergency department with a sudden onset of lightheadedness and generalized weakness of the left lower and upper extremities.    Nurses’ Notes   1100: A 46-year-old female of Latin descent presents to the emergency department with lightheadedness, generalized weakness of the left lower and upper extremities, and a sudden headache after completing a 2.5-mile sprint. Reports some nausea but no vomiting. Thinking she was dehydrated from her exercise, she drank about a liter of water and self-administered 500 mg of acetaminophen for pain with no improvement.  She reports the symptoms began at approximately 0900. No significant previous medical or surgical history. Takes an oral combined hormonal contraceptive. Occasionally drinks 3-4 glasses of wine a week and vapes with e-cigarettes daily. Continuous cardiac monitoring initiated, per protocol. Heart rate is 99 bpm, blood pressure is 160/100. She is awake and alert and can make her needs known. Voiding clear-yellow urine; abdomen is soft with bowels sounds in all quadrants. Reports increasing numbness to the left side and upper and lower extremities. Diagnostic Report   Head CT shows ischemic stroke           The client is diagnosed with an ischemic stroke. Which of the following is top priority for this client? 

Your patient diagnosed with Myasthenia Gravis begins taking pyridostigmine. During the first week, the dosage is changed frequently. While the dosage is being adjusted, the nurse’s priority intervention is to:

The nurse is teaching the client with myasthenia gravis about the prevention of myasthenic and cholinergic crises. The nurse tells the client that this is most effectively done by:

A 23-year-old male with a history of type I diabetes presented to the emergency department due to a change in mental status.   Nurses’ Notes   1200 23-year-old male with a history of diabetes type I brought to the emergency department by spouse for changes in mental status from his baseline. The client’s wife reports that he woke at 0600 to complete his morning routine. At approximately 1100 he became unaware of his surroundings and began sweating profusely and slurring his words. Breath sounds are clear but noted with a fruity citrus odor and deep rapid respiration’s. Sinus tachycardia per cardiac monitor. He is awake and alert, pupils equal and reactive to light. Vital Signs   Time 1200   Temp 99.5° F (37.5 °C)   P 118   RR 32   B/P 89/52   Pulse oximeter 89% on RA   Medications   Humalog insulin subcut sliding scale with meals   Lantus 10units QHS                 Which 4 findings are most significant?  

A nurse is caring for a patient who has been prescribed mannitol. Which of the following assessments is most important for the nurse to perform to monitor for potential adverse effects of this medication?