Cooper Madison, a 6-year-old Caucasian male, arrived at the emergency department at 1045 Tuesday with a closed head injury and concussion, related to a fall from a tree house. A CT scan indicated possible skull fracture and subdural hematoma. A C-spine ruled out spinal fracture. While still in the emergency department, Cooper experienced an unwitnessed seizure. At 1300 Tuesday, Cooper was admitted to the pediatric unit. He has showed signs of decreasing consciousness overnight.   Assessments: Neurologic: WNL, Glasgow coma scale score of 12Cardiac: Regular rate and rhythmRespiratory: Clear throughoutGI/GU: WNLIntegumentary: Dry, warmOrtho/Mobility: Full range of motionPsychosocial: Age-appropriate Cooper has slept intermittently throughout the night. Most recent Glasgow coma scale at 0600 was 12. He complained of a mild headache during the night, which has been relieved with acetaminophen. Seizure precautions are in place. He has had no seizures since arrival to the pediatric unit. His mother is in the room with him. The scenario takes place on Wednesday at 0645. As the you enter the room, Cooper is lying supine in bed. He immediately begins having a seizure. Frothy emesis is oozing from his mouth and nose. The head of bed is flat and both side rails are in the down position. List your top five nursing interventions you will implement immediately.

Lou Thao is a 43-year-old Vietnamese American male who has just been transferred from the postanesthesia care unit (PACU) to the medical-surgical unit for recovery following laparoscopic sigmoid colon resection. You enter the PACU to perform an assessment. Lou Thao is lying in bed with the head of bed at 15 degrees. He is alert and oriented but groggy after surgery. He states, “I am dizzy and feel like I could pass out. The room is spinning around” His vital signs are as follows: T = 97.4 F (36.3 C) BP = 78/42 P = 132 RR = 22 O2 Sat = 95% (2 L/min via nasal cannula) He asks you for a drink stating he is very thirsty and just doesn’t feel right. Further assessment: Heart sounds: Regular Lung sounds: Clear Bowel sounds: Absent Pulses: 1+ bilaterally Pain: 6/10 Urine in indwelling catheter bag is concentrated and amber. Wound, lower abdomen: Clean, dry, and intact, with no drainage Part One: List the unexpected assessment findings (specific for Lou)? Something typically abnormal could be normal in his position. Part Two: What do these assessment findings indicate. Part Three: What is your recommendation to the provider? What order are you going to ask for?  

  David Montanari is a 19-year-old male who suffered a T4-T5 burst fracture as a result of a motorcycle accident on Sunday. He underwent spinal fusion on Sunday evening and has had an uneventful recovery period. David has no sensation or movement below the nipple line and is bed bound. Yesterday evening, his indwelling urinary catheter was discontinued in an attempt to begin bladder retraining. The last bladder scan and straight catheterization were done at midnight. The scenario takes place on Thursday at 0800 during the morning nursing assessment.  David Montanari is lying supine in bed with the head of bed at 15 degrees. David’s mother, Janene Montanari, is at the bedside and is anxious about her son’s condition. Assessment Data T = 98.2 F (36.8 C)BP = 150/88P = 48RR = 24O2 Sat = 96% (room air)• Heart sounds: Regular• Lung sounds: Clear• Bowel sounds: Present• Pulses: 3+ Place the following nursing interventions in the order you, as the nurse, will implement them. First to last.

What cryptographic method, first proposed in the mid-1980s, makes use of sloping curves instead of large prime numbers?

Name 2 phonological processes that are NEVER normal in development.

What term below is used to describe an attack that sends unsolicited messages to Bluetooth enabled devices?

The action that is taken by a subject over an object is called a(n):

What type of cryptography uses two keys instead of just one, generating both a private and a public key?

What are symptoms that would lead you to believe your athlete is suffering from a SPRAIN?

You can begin working on trigger points during post-event massage.