Glasgow coma scale Study guides, Class notes & Summaries

ATI MEDICAL SURGICAL CMS PROCTORED EXAM 2023/2024 A+ GRADED A nurse in an emergency department is preparing to perform ocular irrigation for a client. Which of the following actions should the nurse plan to take? a. Assess the client's visual acuity prior to irrigation b. Have the client turn their head toward the unaffected eye c. Hold the irrigator syringe 3.81 cm (1.5in) above the eye d. Perform the irrigation with sterile water for irrigation - CORRECT ANSWER-d. perform the irri...

HESI RN EXIT EXAM V1-V7 (LATEST ) / RN EXIT HESI EXAM V1,V2,V3,V4,V5,V6,V7 1. Following discharge teaching, a male client with duodenal ulcer tells the nurse the he will drink plenty of dairy products, such as milk, to help coat and protect his ulcer. What is the best follow-up action by the nurse? • Review with the client the need to avoid foods that are rich in milk and cream 2. A male client with hypertension, who received new antihypertensive prescriptions at his last visit returns ...

Exam 4: NSG530 / NSG 530 (Latest 2024 / 2025) - Advanced Pathophysiology Exam Review | Guide with Questions and Verified Answers | 100% Correct - Wilkes Question: As the NP working in the ED, you see a patient who fell several feet off a ladder striking his head. You initially examine the patient- what is the most crucial determination of his nervous system function? Answer: LOC using Glasgow Coma Scale (GCS) Question: A patient, who fell several feet off a ladder striking his head, is ...

1. Which of the following signs is LEAST reliable for diagnosing esophageal intubation? a. symmetrical chest wall movement b. end-tidal CO2 presence by colorimetry c. bilateral breath sounds d. oxygen saturation >92% e. ETT above carina on chest x-ray 2. Which of the following signs the necessitates a definitive airway in severe trauma patients? a. fascial lacerations b. repeated vomiting d. sternal fracture e. Glasgow Coma Scale score of 12 3. Twenty-seven patients are seriously i...

Med Surg 1 Final Exam A nurse is caring for a client who is postprocedure following lumbar puncture and reports a throbbing headache when sitting upright. Which of the following actions should the nurse take? (Select all that apply) a.) Use the Glasgow Coma Scale when assessing the client b.) Assist the client to a supine position c.) Administer an opioid medications d.) Encourgae the client to increase fluid intake e.) Instruct the client to perform deep breathing and co...

c. severe maxillofacial fractures 1. Which of the following signs is LEAST reliable for diagnosing esophageal intubation? a. symmetrical chest wall movement b. end-tidal CO2 presence by colorimetry c. bilateral breath sounds d. oxygen saturation >92% e. ETT above carina on chest x-ray 2. Which of the following signs the necessitates a definitive airway in severe trauma patients? a. fascial lacerations b. repeated vomiting d. sternal fracture e. Glasgow Coma Scale score of 12 3. Tw...

ATI ADVANCED MED SURG PROCTORED 2023 WITH GLASGOW COMA SCALE REAL EXAM

1. A nurse is collecting data from a client who was admitted with a Glasgow Coma Scale of 3. Which of the following findings should the nurse expect? - Nonresponsive Commands 2. A nurse is collecting data from a client who has coronary artery disease. Which of the following manifestations should the nurse identify as an indication that the client has angina - Chest Discomfort Radiated - Pain lasting less that 15mins - Pain that is relieved with rest

The nurse is caring for a patient with increased intracranial pressure (ICP). Which action would be considered to be a collaborative intervention? a. Decreasing perfusion b. Administering an osmotic diuretic c. Assessing orientation d. Assessing for edema correct answer: ANS: B Which assessment finding would be the earliest and most sensitive indicator that there is an alteration in intracranial regulation? a. Change in level of consciousness b. Inability to focus visually c. Loss o...

Exam 1: NUR160 / NUR 160 (Latest 2024 / 2025) Fundamental Concepts of Practical Nursing II Exam Review | Questions and Verified Answers | Already Graded A | Hondros College Q: order for inspecting abdomen Answer: inspect, auscultate, palpate Q: when teaching diabetes what is one thing you want to teach them? Answer: avoid heating pads, wear shoes, heated blankets, don't cut their own nails, dry location, check feet daily Q: orthopenic position Answer: crossed arms on side table Q: if there is...

ATLS POST TEST 4 LATEST VERSIONS 2023-2024 REAL EXAM 160 QUESTIONS AND CORRECT ANSWERS |AGRADE A 22-year-old man is hypotensive and tachycardic after a shotgun wound to the left shoulder. His blood pressure is initially 80/40 mm Hg. After initial fluid resuscitation his blood pressure increases to 122/84 mm Hg. His heart rate is now 100 beats per minute and his respiratory rate is 28 breaths per minute. A tube thoracostomy is performed for decreased left chest breath sounds with the return ...

MEDSURG VATI ASSESSMENT 90 Q'S AND ALL CORRECT ANSWERSMEDSURG VATI ASSESSMENT 90 Q'S AND ALL CORRECT ANSWERSMEDSURG VATI ASSESSMENT 90 Q'S AND ALL CORRECT ANSWERS A nurse is assisting with the care of four clients. Which of the following clients is the priority for the nurse to see -A client who has chest tubes and an oxygen Sat of 90% - aclient who has peripheral edema and urinary output of 130 over 4hrs - A client who has a permanent pacemaker with heart rate of 76/min -a client w...