A nurse assesses a client with a brain injury. The client opens his eyes when the nurse calls his name, does not understand questions, and brings his arm up in response to a trapezius squeeze by the nurse. How would the nurse document this client's assessment using the Glasgow Coma Scale shown below

Answer and Explanation

The Correct Answer is D

The client opens his eyes in response to voice, which scores 3 on the eye-opening part of the GCS.

Since the client does not understand questions, this would likely score 1 for verbal response, indicating incomprehensible sounds.

The motor response of bringing an arm up to a trapezius squeeze is localizing pain, which would score 5.

Therefore, the nurse would document the client's GCS score as E3V1M5, which totals to 9 out of a possible 15 points.

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Correct Answer is ["0.5"]

Explanation

Convert the prescribed dose of digoxin from micrograms to milligrams

1 mg equals 1000 mcg.

Therefore, 125 mcg is equivalent to 0.125 mg.

Since the available tablets are 0.25 mg each, you would divide the required dose (0.125 mg) by the strength of the available tablet (0.25 mg).

This calculation results in 0.5

The nurse should administer half a tablet per dose.

A. Methylprednisolone B. Dobutamine C. Furosemide D. Epinephrine

Correct Answer is D

Explanation

Methylprednisolone is a crucial medication in managing anaphylaxis but it takes longer to act compared to epinephrine and is not the immediate first-line treatment.
B. Dobutamine is a vasopressor used to treat heart failure. However, it's not indicated in the initial management of anaphylaxis.
C. Furosemide is a diuretic used for conditions like heart failure and edema. It has no role in treating anaphylaxis.
D. Epinephrine is the first-line treatment for anaphylactic shock. It rapidly reverses the life-threatening effects of anaphylaxis by constricting blood vessels, relaxing airway muscles, and stimulating the heart.

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Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who has heart failure and a prescription for digoxin 125 mcg PO daily. Available is digoxin PO 0.25 mg/tablet. How many tablets should the nurse administer per dose? (Round the answer to the nearest tenth. Use a leading zero if it applies. Do not use a trailing zero.)

Correct Answer is ["0.5"]

Explanation

A nurse is caring for a client who is experiencing anaphylactic shock in response to the administration of penicillin. Which of the following medications should the nurse administer first?

Correct Answer is D

Explanation

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