Glasgow coma scale gcs Study guides, Class notes & Summaries

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 ...

Please interpret the acid-base abnormality: pH = 7.56, PaCO2 = 24 mm Hg, HCO3 = 23 mEq/L - Correct Answer Respiratory Alkalosis Manifestations of DKA are the results of severe dehydration and acidosis. One of those manifestations is Kussmaul's respirations. This compensatory response does what? - Correct Answer Causes increased rate and depth of respirations, with longer expiration An adult woman is admitted with metabolic acidosis. Which set of ABG's would the nurse find? - Correct Answer...

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...

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...

Prophecy Medical Surgical Telemetry Questions and Answers 2023/24 Score A+. 1. An adult client experiences a gasoline tank fire when riding a motorcycle and is admitted to the emergency department (ED) with full thickness burns to all surfaces of both lower extremities, What percentage of body surface area should the nurse document in the electronic medical record (EMR)? • 9 % • 18 % • 36 % • 45 % • Rational- according to the rule of nines, the anterior and posterior surfaces ...

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...

1.0 M8E_N213 1.25/1.25 points (graded) Which assessment data should the RN collect first from the client brought to the Emergency Department with confusion and a decreased level of consciousness? History of drug or alcohol abuse. Current medications. Family medical history. Onset of symptoms correct You have used 1 of 1 attempt Some problems have options such as save, reset, hints, or show answer. These options follow the Submit button. Correct (1.25/1.25 points) 2.0 M8E_N213 1.25/1....

A patient is seen in the emergency department complaining of dysuria and tells you that she is 23 weeks pregnant. Your doctor diagnoses her with a UTI. Which of the following would be the best diagnosis? acute urinary tract infection in pregnancy, 2nd trimester A patient cut his left foot on a piece of glass two hours ago and is seen in the emergency department to have sutures placed. The doctor tells you there is no tendon injury and circulatory, sensory and motor is intact. What is the...

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...

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 ...

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...