During an annual physical assessment, a client reports not being able to smell coffee and most foods. Which cranial nerve function would the nurse assess? I II X VII
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During an annual physical assessment, a client reports not being able to smell coffee and most foods. Which cranial nerve function would the nurse assess?
I
II
X
VII
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- The nurse is completing the admission assessment of a 3-year-old who is admitted with bacterial meningitis and hydrocephalus. Which assessment finding is evidence that the child experiencing increased intracranial pressure (ICP).Mental status assessment tool (bipolar patients) Assessment Normal findings abnormal finding remarksA client is hospitalized for treatment of myasthenic crisis and is concerned about what may have caused this illness. The client's states I just had a little case of the sniffles and a bit of a sore throat and warm! Suddenly I couldn't get out of the bed or do anything. Which response is best for the nurse to provide this client
- What are the essential things/key points a nurse must know about Spinal Cord Injuries as well as about caring for a patient with the said injury/injuries? Thank youWhat are the essential things/key points a nurse must know about Spinal Cord Injuries as well as about caring for a patient with the said injuries? Thank youThe nurse is practicing the therapeutic communication technique of broad opening. Which of thefollowing statements by the nurse best demonstrates a correct understanding of this technique?a. “How do you feel when you are arguing with your daughter?”b. “What are you thinking about?”c. “Are you planning on hurting yourself?”d. “You are biting your fingernails. Is something bothering you?”
- The nurse is reinforcing teaching to parents about caring for a child during a tonic clonic seizureWhat are three 3) points the nurse should include when discussing care during and after a seizure?A nurse is caring for a client in the emergency department (ED). Exhibit 1 Nurses' Notes 0600: Client presents with acute altered mental status. Client has a history of frequent ED visits for alcohol intoxication. Client states that they had an episode of binge drinking yesterday afternoon. Client awoke this morning on the living room floor trembling and flushed; remembers having intense dreams and was afraid they had a seizure so they called a family member to bring them to the ED. Client reports their average alcohol intake has been "two or three beers" after work each day and "more on the weekends" for the past 6 months. Client reports headache, nausea, agitation, and is noted to be diaphoretic. 0800: Client states "I've got bugs crawling on me. Get them off me!" Client tremulous and diaphoretic. Exhibit 2 History and Physical Alcohol use disorder Delirium tremens Nicotine use disorder Hypertension, diet and exercise controlled. Exhibit 3 Vital Signs 0600: Temperature 37°…An older client is having photocoagulation for macular degeneration. Which intervention should the nurse implement during the postprocedure care in the outpatient surgical unit? A. Arrange food on the plate in clockwise order B. Apply bilateral eye patches while sleeping C. Verbally identify self when entering the room D. Use a white board to communicate ideas
