The nurse is administering IV fluid boluses and nasogastric irrigation to a patient with acute gastrointestinal (GI) bleeding. What assessment finding is most important for the nurse to communicate to the health care provider?
Which assessment data would indicate to the nurse that the c…
Which assessment data would indicate to the nurse that the client would be at risk for a hemorrhagic stroke?
A patient complaining of episodic headaches describes the pa…
A patient complaining of episodic headaches describes the pain as 10 (on a scale of 1 to 10), located on the left side, accompanied by nausea, and lasting 2 to 3 days. These signs and symptoms are consistent with which type of headache?
A nurse monitoring a client who has sustained a head injury…
A nurse monitoring a client who has sustained a head injury would determine that the intracranial pressure (ICP) is rising if which of the following vital sign trends is noted during the course of the work shift?
An appropriate nursing intervention for the patient followin…
An appropriate nursing intervention for the patient following cataract surgery is to
Following an esophagogastroduodenoscopy (EGD), the patient a…
Following an esophagogastroduodenoscopy (EGD), the patient asks for orange juice. Before allowing the patient to have fluids, what is essential for the nurse to do first?
A 19-year old is brought to the ED with sudden onset of high…
A 19-year old is brought to the ED with sudden onset of high fever, nuchal rigidity, and vomiting. The priority nursing intervention is:
In doing a breath sound assessment on a client who has left…
In doing a breath sound assessment on a client who has left ventricular failure, the nurse would anticipate the finding of?
When a patient with suspected acute ischemic stroke arrives…
When a patient with suspected acute ischemic stroke arrives in the ED, which brain study should be performed within 25 minutes?
A nurse is performing an assessment of a 7-year-old child wh…
A nurse is performing an assessment of a 7-year-old child who is suspected of having episodes of absence seizures. Which of the following assessment questions to the mother will assist in providing information that will identify the symptoms associated with this type of seizure?