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Nur 265 exam 3 questions with answers.

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Nur 265 exam 3 questions with answers.

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Nur 265 exam 3 questions with answers
// // // // // // //




The nurse is working in the emergency department and is
// // // // // // // // //



admitting a client who has a sustained TBI, following a motor
// // // // // // // // // // //



vehicle crash, it is a priority for the nurse to notify the primary
// // // // // // // // // // // // //



health care provider if the client
// // // // // //




takes prescribed warfarin daily
// // //




The charge nurse observes a newly hired nurse caring for a
// // // // // // // // // //



client who sustained a closed head
// // // // // //




injury, is receiving mechanical ventilation, and is at risk for
// // // // // // // // //



developing ICP. Which of the following
// // // // // //




actions, if performed by the newly hired nurse, requires
// // // // // // // //



intervention by the charge nurse?
// // // // //




raising the foot of the clients bed
// // // // // //




The newly hired nurse is caring for a client who was admitted
// // // // // // // // // // //



12 hours ago with a TBI and is at risk
// // // // // // // // // //




for developing ICP. It requires intervention by the nurse
// // // // // // // //



preceptor if the newly hired nurse is observed
// // // // // // // //




Clustering client care activities // // //

, The nurse is assessing clients for the risk of sustaining TBI.
// // // // // // // // // //



Which of the following clients should
// // // // // //




the nurse identify as being at greatest risk?
// // // // // // //




20 yr old college student who participates on the football team
// // // // // // // // // //




The nurse is caring for assigned clients. Which of the following
// // // // // // // // // //



assessment findings requires the
// // // //




nurse to notify the PHCP?
// // // //




the development of asymmetric pupils with no reaction to light
// // // // // // // // //



in the client who has the TBI
// // // // // // //




The nurse is caring for a client with a TBI and a skull fracture.
// // // // // // // // // // // // //



The nurse noted that the client had
// // // // // // //




developed rhinorrhea (nasal drip) positive for glucose. Which of
// // // // // // // //



the following actions should the
// // // // //




nurse take next? // //




Perform a halo sign test // // // //

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