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 C

Explanation

Choice A reason: While disturbed body image is a concern, it is not the highest priority for a patient undergoing a bone marrow transplant.

Choice B reason: Anxiety is important to address but does not take precedence over physical health concerns in the immediate post-transplant period.

Choice C reason: Ineﬀective protection is the highest priority because patients undergoing bone marrow transplants have compromised immune systems and are at high risk for infection.

Choice D reason: Imbalanced nutrition is a concern but is secondary to the risk of infection in the immediate care of a patient post bone marrow transplant.

A. 0.04-0.20 seconds B. 0.12-0.20 seconds C. Less than half the R-to-R ratio D. 0.08-0.10 seconds

Correct Answer is B

Explanation

Choice A reason: A PR interval of 0.04-0.20 seconds is too broad and includes values that are both below and above the normal range.

Choice B reason: A PR interval of 0.12-0.20 seconds is the established normal range for adults, reﬂecting proper conduction through the AV node.

Choice C reason: The PR interval being less than half the R-to-R ratio is not a standard measurement for PR intervals and does not provide a specific range.

Choice D reason: A PR interval of 0.08-0.10 seconds is below the normal range and may suggest pre-excitation or an AV nodal (junctional) rhythm.

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

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Which of the following nursing diagnoses (nursing problem) would be of highest priority for the patient hospitalized for a bone marrow transplant to treat relapse of acute myelocytic leukemia?

Correct Answer is C

Explanation

The normal PR interval is:

Correct Answer is B

Explanation

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