A nurse is caring for a client on a medical-surgical unit
Complete the following sentence by using the lists of options.
The client is at highest risk for developing
The Correct Answer is {"dropdown-group-1":"A","dropdown-group-2":"A"}
Option 1: Intracranial hemorrhage: The client’s recent fall, worsening headache, unilateral pupil dilation, right-sided weakness, and decreasing Glasgow Coma Scale (GCS) indicate a potential neurological injury, which is concerning for intracranial hemorrhage.
Option 2: Glasgow Coma Scale: The client's GCS has progressively declined (from 15 to 13), indicating a decrease in neurological function, which is critical in assessing intracranial pressure and risk for hemorrhage.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Moving objects away prevents injury during the seizure and is a critical safety measure.
B. Placing the client on their side, rather than on their back, helps maintain an open airway and prevents aspiration.
C. Inserting anything into the client's mouth, including a padded tongue blade, is not recommended as it may cause injury.
D. Restraining the client could result in injury and is not advised.
Correct Answer is A
Explanation
A. Night sweats are a common symptom in clients with AIDS, often related to opportunistic infections like tuberculosis or certain types of cancers.
B. In HIV/AIDS, WBC counts are often decreased due to immune suppression, so an increased WBC count is not typical.
C. Decreased, rather than increased, hemoglobin levels are often seen in AIDS due to anemia of chronic disease.
D. Weight loss, rather than gain, is more commonly associated with AIDS due to malnutrition and wasting syndrome.
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