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A nurse is caring for a client on a medical-surgical unit

Exhibits

Complete the following sentence by using the lists of options.

The client is at highest risk for developing

as evidenced by the client's .
Answer and Explanation

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.


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Related Questions

Correct Answer is ["A","B","C","E"]

Explanation

A. Osteoarthritis causes joint pain due to the deterioration of cartilage in the joints.

B. Crepitus, a grating sound, can occur in affected joints due to bone rubbing on bone.

C. Osteoarthritis primarily affects weight-bearing joints such as the hips, knees, and spine.

D. Osteoarthritis often affects joints asymmetrically rather than in a bilateral symmetrical pattern, which is more characteristic of rheumatoid arthritis.

E. Joint stiffness, particularly after periods of inactivity, is a common symptom of osteoarthritis.

Correct Answer is C

Explanation

A. Constipation is not a common side effect of donepezil; gastrointestinal effects are usually limited to diarrhea, nausea, and vomiting.

B. Donepezil is typically administered at bedtime to reduce the risk of daytime side effects like dizziness.

C. Syncope (fainting) can occur as a side effect of donepezil, especially when changing positions, due to its effects on heart rate.

D. Donepezil may cause bradycardia (slow heart rate), not tachycardia.

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