Which statement by a teen who is being discharged from the emergency room with a concussion indicates a need for further teaching?

It is 40 minutes after the nurse has completed her beginning of shift assesment on a client who fell 30 feet on a construction site 3 hours ago.  The client had a Glasgow Coma Scale (GCS) score of 15 at initial assessment.  The nurse noticed the client’s eyes were closed.  A loud noise occurred in the ICU  and the client’s arms and legs jerked under the covers then slowly relaxed while his eyes remained closed.  Which thought process is most appropriate in this situation?

A nurse plans care for a client with Parkinson’s disease who is at risk for respiratory complications. Which intervention would the nurse include in this client’s plan of care?

The HCP orders 0.25 grams of Ceftriaxone Sodium IM now for your client. You have a 10 ml vial with a concentration of 100mg/ml solution. How many mls will you administer?

Decerebrate posturing is present in an unconscious client following a motor vehicle accident.  Which description best represents decerebrate posturing?

The nurse is preparing to teach a client on transient ischemic attack (TIA).  Which statement indicates that further teaching is required.

A client with a probable leak from a cerebral aneurysm is scheduled for surgical repair. What is the priority nursing care in the preoperative period?

A 30 y/o female presents to her primary care clinic with complaints of diplopia, weakness, and fatigue. She reports her symptoms have returned intermittently over the past several months.  What condition would we suspect in this client?

The nurse is educating the spinal cord injury patient about intermittent cathing at home due to neurogenic bladder. Which topics should the nurse be sure to include in their teaching? (Select all that apply)

You are the nurse on a medical surgical floor. During morning rounds, you check your 20 year old client admitted overnight with increased seizure activity. Upon entering the room, you note the client is having uncontrolled muscle movements in all extremeties and does not respond when you call her name. What action would the nurse take first?