Patient Data

Exhibits

The rapid response team (RRT) is on its way to the bedside.
Which 4 actions should the nurse perform immediately?

A client with left ventricular failure complains of a hacking cough that worsens at night and further complains that shortness of breath sometimes occurs upon wakening. Which intervention should the nurse include in the bedtime preparation?

Which assessment technique should the nurse use to confirm the presence of papilledema in a client with a rapidly decreasing level of consciousness?

The healthcare provider prescribes heparin 18 units/kg/hr IV for a client who weighs 154 Ibs to prevent deep vein thrombosis (DVT). The premixed IV solution is labeled "Heparin Sodium 20,000 Units in Dextrose 5% in Water (D5W) 500 mL". The nurse should program the infusion pump to deliver how many mL/hr? (Enter numerical value only. If rounding is required, round to the nearest tenth.)

The nurse uses the Glasgow coma scale (GCS) to assess a client who has had a stroke. When the nurse calls out the client's name, the client does not open eyes, does not respond to a painful stimulus, and does not make any spoken sound during the assessment. Which statement based on the GCS reflects correct documentation in the electronic medical record of the client's neurological status?

When caring for a client with a cervical spinal cord injury, which intervention is the most important for the nurse to implement?

A client with a C-7 spinal cord injury (SCI) is experiencing autonomic dysreflexia. The nurse should first assess the client for which precipitating factor?

A client arrives to the emergency department (ED) following a motor vehicle collision. The nurse observes the client experiencing increasing dyspnea and notes absent breath sounds on the left side. Which procedure should the nurse prepare the client for?

A client with advanced Parkinson's disease receives a prescription for apomorphine hydrochloride 3 mg subcutaneously. The medication is available in a 30 mg/3 mL prefilled syringe. How many mL should the nurse administer? (Enter numerical value only. If rounding is required, round to the nearest tenth.)

Patient Data

Choose the most likely options for the information missing from the statement(s) by selecting from the lists of options provided.

The client likely has a(n)

Patient Data

The nurse is admitting the client to the stroke unit and preparing to complete a focused neurological assessment.
Which assessment(s) should the nurse conduct? Select all that apply.