A patient is brought to the emergency department after a motor vehicle accident. Upon assessment, the nurse notes the following: Eye Opening: Opens eyes only in response to verbal stimuli Verbal Response: Confused Motor Response: Localizes pain What is the patient’s Glasgow Coma Scale (GCS) score?

A nurse is caring for a patient in the compensatory stage of shock. Which of the following findings should the nurse expect?

A nurse is caring for a patient who is postoperative day one following a carotid endarterectomy. Which of the following assessments requires immediate intervention?

A nurse is teaching a patient with a high risk for stroke about lifestyle changes. Which of the following patient statements indicates a need for further teaching?

A patient status post coronary artery bypass graft (CABG) develops cardiac tamponade and obstructive shock. The nurse anticipates all of the following hemodynamic changes except:

When caring for a patient with increased intracranial pressure (ICP), which fluid therapy is most appropriate?

The nurse is caring for a patient who sustained an ischemic cerebrovascular accident (CVA). Symptoms started 8 hours ago. The patient’s most recent blood pressure was 190/101 mm Hg. The nurse should take which action?

A patient is admitted with a hemorrhagic stroke and is now exhibiting signs of worsening neurological status related to increased intracranial pressure (ICP). Which of the following is a late manifestation of increased ICP?

Upon assessment of a patient with increased intracranial pressure you see the following reaction to painful stimuli. How would you describe this reaction? 

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