The most reliable indicator of neurologic status is which of the following?

Level of consciousness (LOC)

Temperature

Blood pressure

Pulse rate

Answer and Explanation

The Correct Answer is A

Choice A reason: Level of consciousness is the most basic and sensitive indicator of altered brain function and is considered the most reliable indicator of neurologic status.

Choice B reason: Temperature is not a direct indicator of neurologic status and does not change as rapidly in response to neurologic events.

Choice C reason: Blood pressure can be aﬀected by neurologic changes, but it is not as sensitive or specific as the level of consciousness.

Choice D reason: Pulse rate is not a direct indicator of neurologic status and can be inﬂuenced by a variety of non- neurologic factors.

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Correct Answer is A

Explanation

Choice A reason: Evaluating the eﬀectiveness of opioid analgesics is crucial as pain management is a primary concern for patients experiencing a sickle cell crisis.

Choice B reason: Limiting the patient's intake of oral and IV ﬂuids is not recommended as hydration is important for patients with sickle cell crisis to reduce blood viscosity and improve circulation.

Choice C reason: Teaching the patient about high-protein, high-calorie foods is beneficial for long-term management but is not the immediate nursing intervention during a crisis.

Choice D reason: Encouraging ambulation may be part of recovery but is not the primary intervention during an acute sickle cell crisis due to the risk of pain exacerbation.

A. "The last time I voided, it was painful and red-tinged." B. "My period ended 2 days ago." C. "I drink at least 2 quarts of ﬂuid every day." D. "I don't eat shellfish because it gives me hives."

Correct Answer is D

Explanation

Choice A reason: While painful and red-tinged urination is a concern, it is not directly related to the intravenous pyelogram procedure.

Choice B reason: The end of the menstrual period is not relevant to the intravenous pyelogram procedure.

Choice C reason: Drinking ﬂuids is generally encouraged but does not need to be reported unless it is restricted before the procedure.

Choice D reason: The client's allergy to shellfish is important to report because the contrast dye used in an intravenous pyelogram may contain iodine, which can cause a reaction in people with shellfish allergies.

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The most reliable indicator of neurologic status is which of the following?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Which nursing intervention is important when providing care for a patient with sickle cell crisis?

Correct Answer is A

Explanation

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Correct Answer is D

Explanation

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