2025 Update) Client-Centered Care IV|
Guide with Questions and Verified Answers|
100% Correct| A Grade– Rasmussen
QUESTION
Prioritization: Who would you see first?
A. 30 y/o 24hrs post appendectomy
B. 35 y/o with recent diagnosis of Gullein-Barre
C. 55 y/o 3 days post MI
D. 48 y/o with diverticulitis
Answer:
B.
QUESTION
Signs and Symptoms of ICP
Answer:
Lethargy
QUESTION
Fall Risk Interventions
Answer:
-call light within reach
-bed alarm
-bedside table within reach
-room close to nursing station
-nonskid socks & wristband
-patient/family education
-hourly rounding
-fall mat
,QUESTION
What should you first ask a patient with auditory hallucinations?
Answer:
"What are the voices saying?"
QUESTION
Position for Seizures
Answer:
Side-lying
QUESTION
Postcare Seizure Interventions (in order)
Answer:
1. Maintain side-lying position to keep airway clear
2. Check for injuries
3. Monitor vital signs
4. Reorient the patient
QUESTION
If your patient has one pupil larger than the other, what should you do?
Answer:
Notify HCP
(Anisocoria)
QUESTION
Bradykinesia can also cause what?
, Answer:
Slowed Speech
QUESTION
Guillen Barre Syndrome is often preceded by what?
Answer:
Respiratory Infection
QUESTION
Signs of ICP in infants?
Answer:
Constant Crying & Irritability
QUESTION
Calculating I&O
Answer:
1 cup=8 oz
Yes, jello is included.
QUESTION
MAOI Diet Restrictions
Answer:
Avoid foods high in tyramine such as:
-aged cheeses
-fermented foods
-cured foods