A patient diagnosed with a hemorrhagic stroke reports of a sudden, severe headache (9 out of 10 pain). Prioritize the next actions:
1. Administer acetaminophen or apply a cold pack to the patient's head.
2. Perform a neuro assessment.
3. Notify the physician.
4. Notify the
• A headache may indicate that the intracranial bleed is worsening. The nurse should first perform a neuro assessment and then immediately notify the physician. Treatment is time-sensitive, so the nurse should work fast.
• The physician will decide whether a cold pack or acetaminophen is appropriate.
• The charge nurse should be updated on the situation after the physician has been notified and time-sensitive treatment given.
The nurse is instructing a diabetic patient about proper foot care. Which statement by the patient indicates the need for additional teaching?
The nurse is providing discharge instructions to a patient with osteoporosis. Which of the following should be included in the discharge instructions?
The nurse is providing discharge instructions to a patient originally admitted with hyperosmolar hyperglycemic nonketotic syndrome (HHNS). Which of the following patient statements is true regarding the prevention and management of HHNS?
The nurse is reviewing the x-ray of a patient with a fractured radius. The x-ray shows bone fragments driven into each other. What type of fracture is this?
A floor nurse is receiving
The physician is preparing for cardioversion of a patient with atrial fibrillation. The nurse places the conductive pads at
A 32-year-old male is admitted to the hospital with diabetes insipidus. The nurse would anticipate the physician ordering the administration of
A patient with progressive multiple
The nurse is reviewing the lab results of a patient with Hashimoto's thyroiditis. Which of the following can the nurse expect?
A patient with chronic obstructive pulmonary disease (COPD) is hospitalized for heart failure. The patient is weak and cannot cough, so the nurse should watch closely for the development of
The nurse is caring for a patient dependent on a mechanical ventilator. In order to reduce the risk of developing pneumonia, the nurse should do which of the following?
The nurse is implementing a dexamethasone suppression test on a patient with Cushing's syndrome. Which of the following steps should the nurse plan on implementing?
A patient is diagnosed with a right tension pneumothorax. The nurse would understand that the pneumothorax is worsening when which of the following is observed?
A patient is dying from stage four breast cancer. The nurse knows that there is anticipatory grief when the woman
A nurse is treating an adult client diagnosed with bone cancer. The nurse would include which common physical manifestation associated with early chemotherapy treatment in the patient's teaching?
The nurse is caring for a patient with a history of fibrocystic disease of the breasts. Which of the following indicates that the patient understands the nature of this disorder?
A patient is diagnosed with testicular cancer and tells the nurse that it is useless to learn about disease management since there is no cure. The nurse determines that the patient is experiencing which potential problem based on his statement?
The nurse is positioning a patient after undergoing a myelography using a water-soluble contrast dye. The patient should be placed in which position?
After a frontal craniotomy, a patient returns to the neurosurgery unit. Which of the following orders might the nurse expect for the patient?
A nurse is caring for a patient in a coma. The patient's spouse is the DPOA. When
A nurse is preparing a patient for an electroencephalogram (EEG) and magnetic resonance imaging (MRI). Which is the nurse's responsibility?
A 23-year-old female is readmitted to the hospital due to recurrent urinary tract infections (UTI). Which of the following instructions would the nurse share with the female to hopefully prevent future UTIs?
A nurse is caring for a patient with a suspected diagnosis of tuberculosis. The nurse should expect the physician to order which of the following tests to confirm this diagnosis?
A patient with emphysema is receiving discharge instructions regarding home oxygen use via nasal cannula. Which of the following statements should the nurse include?
The nurse is assigned to a patient at risk for the development of disseminated intravascular coagulation (DIC). Which of the following lab values should the nurse monitor?
A patient with a traumatic brain injury (TBI) is being mechanically ventilated. The patient has sporadic seizure episodes that last for up to a minute. In taking care of this patient, which of the following interventions are appropriate?
A 69-year-old patient is set to have a cerebral angiogram through the femoral artery. Which of the following should the nurse include in the teaching?
After a health education session about testicular self-examination, a patient approaches the nurse with questions. Which statement made by the patient indicates the need for further education regarding TSE?
A patient suspected of having human immunodeficiency virus (HIV) tests positive on an enzyme-linked immunosorbent assay (ELISA). The nurse understands that
A patient with chronic renal failure is being evaluated for peritoneal dialysis. Which of the following comorbidities would make peritoneal dialysis the treatment of choice?
The nurse is assessing a female patient of child-bearing age for symptoms of iron-deficiency anemia, including
A home health nurse is caring for a 60-year-old male with a hemoglobin of 10.5 g/dl and a hematocrit of 30%. Which of the following actions would be most appropriate?
The nurse is monitoring a patient with diverticulitis for the presence of a bowel perforation. The nurse should be alert to which of the following?