A PLUS EXCEL

A client is seen in the urgent care center with signs of a mild traumatic brain injury​ (TBI). Which clinical manifestation would indicate a need to see a​ neurologist? Unequal pupils Raccoon eyes Irritability Tinnitus - Unequal pupils Unequal pupils indicate that the traumatic brain injury​ (TBI) was more severe than was actually diagnosed. This neurologic deficit would require further​ follow-up from a neurologist to determine possible cranial nerve damage or damage to t...

In conducting a primary survey on a trauma patient, which of the following is considered one of the priority elements of the primary survey? a.) Complete set of vital signs b.) Palpation and auscultation of the abdomen c.) Brief neurologic assessment d.) Initiation of pulse oximetry - c.) Brief neurologic assessment Rationale: A brief neurologic assessment to determine level of consciousness and pupil reaction is part of the primary survey. Vital signs, assessment of the abdomen, and i...

A 22-year-old client with quadriplegia is apprehensive and flushed, with a blood pressure of 210/100 and a heart rate of 50 bpm. Which of the following nursing interventions should be done first? a.) Place the client flat in bed b.) Assess patency of the indwelling urinary catheter c.) Give one SL nitroglycerin tablet d.) Raise the head of the bed immediately to 90 degrees - d.) Raise the head of the bed immediately to 90 degrees Rationale: Anxiety, flushing above the level of the lesi...

"Leave me alone! I don't care about getting up!" - Subjective 3 step process for Privacy Rule - 1. Identify what is and what is not, phi 2. determine if person or entity who is requestiong info has a legitimate need for info 3. Make reasonable effort to identify the person or entity. a diagnosis that deals with the human response to actual or pot

"Leave me alone! I don't care about getting up!" - Subjective 3 step process for Privacy Rule - 1. Identify what is and what is not, phi 2. determine if person or entity who is requestiong info has a legitimate need for info 3. Make reasonable effort to identify the person or entity. a diagnosis that deals with the human response to actual or potential health problems and life processes. - Nursing diagnosis Acceptance as a candidate for licensure in Michigan (and most other states)...

Role of RNs - provide and coordinate patient care, educate patients and the public about various health conditions, and provide advice and emotional support to patients and their family members credentialing - "clearance" of an individual by an authority of some kind licensure - A type of credentialing involving government or quasi-governmental agencies practice protection - only those who are licensed may do certain kinds of work (nursing is one of these lines of work and many states...

AACN American association of critical care nurses - knowledge focused trigger ex: "what is the current evidence to improve pain management in patients with migraine headaches?" for patients experiencing loss, grief, death, and bereavement. compare and contrast theories and conceptual models of nursing - Neuman's system theory: total-person model of wholism and an open-systems approach (ex. human organism, nursing process) Nightingale's theory: "descriptive theory"; nurses not need...

Which of the following is a nursing intervention? - Provide assistance to ambulate client twice shift Clinic is designed to provide health education and immunizations is designed to provide - Primary prevention The health care model that utilizes mallows hierarchy of needs as it's base is the - Basic human needs model Before implementing any intervention the nurse uses critical thinking to - determine if an intervention is appropriate for the client Understanding that changes are ne...

1 A student nurse approaches the instructor and states, he staff nurse told me to witness this surgical consent after the surgeon signs it." What is the best response by the instructor? - "Students are not to serve as a witness to legal papers. Let's explain this to the staff nurse so they may have it witnessed." 3. A nurse is caring for a client who is concerned about his impending discharge to home with a new colostomy because he is an avid swimmer. Which of the following statements sho...

3 stages of adaptation (GAS) - alarm reaction, stage of resistance, stage of exhaustion 4 topics of pathophysiology - etiology, pathogenesis, clinical manifestations, treatment 5 cardinal signs of inflammation - heat, redness, swelling, pain, loss of function 7 warning signs of cancer - (CAUTION) Change in bowel or bladder habits A sore that doe