BSN 266 HESI Guides d'étude, Notes de cours & Résumés

A client with a completed ischemic stroke has a blood pressure of 180/90 mm Hg. Which action should the nurse implement? A. Position the head of the bed (HOB) flat. B. Withhold intravenous fluids. C. Administer a bolus of IV fluids. D. Give an antihypertensive medication. - Answer-D. Give an antihypertensive medication. Rationale Most ischemic strokes occur during sleep when baseline blood pressure declines or blood viscosity increases due to minimal fluid intake. Completed strokes usually...

- A Further decline in level of consciousness. Question 2 of 55 A client who has a history of hypothyroidism was initially admitted with lethargy and confusion. Which additional finding warrants the most immediate action by the nurse? [Hematocrit (Reference Range: Male: 42% to 52% (0.42 to 0.52 volume fraction)] - A Further decline in level of consciousness. - B Hematocrit of 30% (0.30 volume fraction) - C Cold and dry skin. - D Facial puffiness and periorbital edema - B Full thickness....

Neutrophil count- The patient is experiencing infection, so a nurse should review the neutrophil count before contacting the HCP. - Answer-While caring for a client with full thickness burns covering 40% of the body, the nurse observes purulent drainage from the wounds. Before reporting the finding, what is the best lab value to evaluate? Demonstrate the use of visual scanning during meals to the client and family. - Answer-An older woman who experienced a cerebrovascular accident (CVA) has d...

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