The nurse is teaching a class to a group of staff nurses about traumatic brain injury which condition would the nurse identify as having the highest risk of a fatal outcome within the first 24 hours post-injury?

A nurse is caring for an alert client who reports heart palpitations, nausea, and dizziness. An electrocardiogram (EKG) confirms the client is experiencing vector tachycardia (VT). The nurse should anticipate which action?

The nurse is assessing a brain-injured client response to nail bed pressure. The client demonstrates internal rotation, adduction, and flexion of the arms, the nurse should report the response as which finding

The client is found in ventricular fibrillation. What interventions should the team implement? Select All That Apply

The nurse is assessing a client and find their right leg is shortened, adducted and externally rotated. These assessment findings would indicate which type of injury?

The nurse is caring for a client who suffered a hemorrhagic stroke. In order to prevent increased intracranial pressure, the client should be placed in which position for the first 72 hours after the onset of a stroke?

A client is being seen in the clinic to rule out mitral valve stenosis. Which assessment data would be an early indication of this condition?

The nurse obtains a health history from a patient with a prosthetic mitral value. Which question by the nurse would help to identify a risk factor for infectious endocarditis

The nurse is caring for a client who reports persistent, crushing chest pain. What additional signs or symptoms would make a nurse suspect that the client is experiencing a myocardial infarction?

A nurse is admitting a client who has acute heart failure following myocardial infarction (MI) Which order by the provider requires clarification by the nurse?

The nurse is teaching a class to a group of staff nurses about traumatic brain injury which condition would the nurse identify as having the highest risk of a fatal outcome within the first 24 hours post-injury?