A school nurse is called to the playground where a 6 year-old child has been found unresponsive and “staring into space,” according to the playground supervisor. How would the nurse document the girl’s activity in her chart at school?  

A nurse is caring for a client with a ventriculostomy in place for monitoring intracranial pressure. The most recent assessment reveals the client is exhibiting nuchal rigidity and photophobia. What would be the most appropriate nursing action?  

A nurse is caring for a client at risk for increased intracranial pressure (ICP). What assessment finding(s) are early signs of an increased ICP?  

A nurse caring for a client with migraines includes the nursing diagnosis: Knowledge, deficient in the plan of care for the client when the client states:

The school nurse has been called to the football field where a player has been injured on the field during a game. The player has landing awkwardly on his head during a play. While awaiting emergency medical response, what is the priority nursing action?  

The neurologic nurse is testing the function of a client’s cerebellum and basal ganglia. What action will most accurately test these structures?  

An 87 year-old client’s daughter says to the nurse, “My father was always sharp. Recently I  noticed he is slower to respond and perform tasks.”  The best response by the nurse is   

A nurse is caring for a client with a ventriculostomy in place for monitoring intracranial pressure. The most recent assessment reveals the client is exhibiting nuchal rigidity and photophobia. What would be the most appropriate nursing action?  

A nurse is creating a plan of care for a client who has a recent diagnosis of Multiple Sclerosis. What priority nursing intervention would the nurse include in the client’s plan of care?    

A nurse receives new orders to start clindamycin 25 mg/kg/day in four equal intravenous doses every 6 hours to a child who weighs 20 kg. How many mg will the nurse administer per each dose?