A nurse suspects that a client admitted for treatment of bacterial meningitis is experiencing increased Intracranial pressure (ICP). Which of the following assessment findings by the nurse supports this suspicion?

A decrease in the Glasgow Coma Score

Photophobia

Fever

Nuchal rigidity

Answer and Explanation

The Correct Answer is A

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Correct Answer is B

No explanation

A. febrile B. absence C. complex partial D. clonictonic

Correct Answer is C

Explanation

Febrile. This is incorrect because febrile seizures are associated with high fever and usually occur in children between 6 months and 5 years of age. They are typically generalized and brief, lasting less than 15 minutes.

Absence. This is incorrect because absence seizures are characterized by brief episodes of staring or loss of awareness, without any motor activity or change in level of consciousness.

Complex partial. This is correct because complex partial seizures involve impaired consciousness and automatisms, such as lip smacking, chewing, or fidgeting. They may also involve focal motor activity, such as twitching of one side of the face or body.

Clonictonic. This is incorrect because clonictonic seizures involve alternating muscle contraction and relaxation, resulting in jerking movements of the limbs and trunk. They are usually preceded by a loss of consciousness and followed by a period of confusion or sleepiness

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A nurse suspects that a client admitted for treatment of bacterial meningitis is experiencing increased Intracranial pressure (ICP). Which of the following assessment findings by the nurse supports this suspicion?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A client has a history of atrial fibrillation. Which of the following is the nurse likely to see on the clients medication history to prevent stroke?

Correct Answer is B

A client is observed with unilateral twitching of facial muscles and repetitive tongue thrusting, with a decrease in level of consciousness. When the nurse reports her findings to the physician, what type of seizure will she indicate she observed?

Correct Answer is C

Explanation

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