Glasgow coma scale Study guides, Class notes & Summaries

ATI RN MENTAL HEALTH 2019 WITH NGN 100% PASS WITH RATIONALES LATEST UPDATES QUESTION AND ANSWERS. A charge nurse is discussing mental status exams with a newly licensed nurse. Which of the following statements by the newly licensed nurse indicates an understanding of the teaching? (Select all that apply) A. "To assess cognitive ability, I should ask the client to count backward by sevens." B. "To assess affect, I should observe the client's facial expression." C. "To assess language ...

A client presents with a headache and complaining of vision difficulties. Which cranial nerve might be defective in this client? A) VIII (Vestibulocochlear) B) VII (Facial) C) XI (Accessory) D) III (Oculomotor) Answer: D A client presents to the ED with loss of consciousness. The RN evaluates the client using the Glasgow Coma Scale. The results are as follows: Eyes open to speech Abnormal flexion of extremities Use of inappropriate words What would the RN estimate this clie...

JB Learning: EMT Final Exam.A 4-year-old, 15-kg male ingested an unknown quantity of acetaminophen (Tylenol). The child's mother states that she does not know when the ingestion occurred. The child is conscious and alert and in no apparent distress. The EMT should: (Ans - administer 15 g of activated charcoal. A patient who has experienced a back injury, with or without spinal cord damage, would be triaged with a ___________ tag during a mass-casualty incident (Ans - yellow An unconsciou...

A 30-year-old male experienced a generalized (tonic-clonic) seizure, which stopped before you arrived at the scene. The patient is conscious, is answering your questions appropriately, and refuses EMS transport. Which of the following would be the MOST compelling reason to disagree with his refusal of transport? Select one: A. His Glasgow Coma Scale (GCS) score is 15 B. His wife states that this was his "usual" seizure C. He has experienced seizures since he was 20 D. He is currently not ...

MEDSURG VATI ASSESSMENT | 70 Questions with 100% Correct Answers | Latest Update | Verified 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 who has pericarditis and temp. 38 c 100.4 - - A client who has chest tubes an...

Monitor heart. Complications of the heart. - Low potassium (Hypokalemia) Epinephrine, norepinephrine, cortisol. Increase heart rate and increase in blood pressure - Catecholamines - Flight or fight response Plasma protein. It keeps water along with it. Water escapes into interstitial cell space. Swelling. Fluid is in the wrong places. Fluid in the peritoneal cavity. - Function of Albumin - decrease albumin - ascites Sodium and water retention - Function of aldosterone extracellular, inters...

2024 NUR HESI EXIT RN CAT EXAM QUESTIONS& ANSWERS 100%correct/verified Graded A+ NGN A client who had an intraosseous (IO) cannula placed by the healthcare providerfor an emergent fluid resuscitation is complaining of severe pain and numbness below the IO site. The skin around the site is pale and edematous. What action should the nurse takes first? a.Discontinue the IO infusion b.Administer an analgesic via the IO site c.Elevate the extremity with the IO site d.Notify the healthcar...

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1. A 24 year old male pedestrian, struck by an automobile, is admitted to the emergency department 1 hour after injury. His blood pressure is 80/60 mmHg, heart rate 140 beats per minute and respiratory rate is 36 per minute. He is lethargic. Oxygen is delivered via face mask, and two large-caliber IVs are initiated. Arterial blood gases are obtained. His PaO2 is 118 mmHg, PaCO2 is 30 mmHg, and pH is 7.21. The treatment of his acid-base disorder is best accomplished by: A. Hyperventi...

A client is comatose upon arrival to the emergency department after falling a roof. The client flexes with painful stimuli, and the nurse determines the client's Glasgow Coma Scale (GCS) is 6. Which intervention should the nurse prepare to implement to maintain the client's airway? - Answer- A nasopharyngeal tube A client is receiving a continuous half strength tube feeding at 50 ml/hr. To prepare enough of the solution for eight hours, how many ml of full strength feeding will the nurse ne...