The nurse is completing a neurological assessment on a client who suffered from a motor vehicle accident (MVA).
Which of the following findings should the nurse report to the practitioner immediately?
ability to swallow pureed foods
client reports mild headache
Weakness
Glasgow coma scale of 5
The Correct Answer is D
A. Ability to swallow pureed foods suggests some functional capacity and is not an immediate concern requiring immediate reporting.
B. A mild headache reported by the client might not indicate a critical issue requiring immediate reporting.
C. Weakness can be a concerning symptom, but the severity or extent of weakness needs further clarification before urgent reporting.
D. A Glasgow Coma Scale (GCS) score of 5 is indicative of severe impairment of consciousness, requiring immediate attention and further evaluation by the healthcare provider.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. HPV vaccination is recommended for both sexually active and non-sexually active individuals for preventive purposes. This statement restricts the vaccine unnecessarily.
B. This statement is correct. The HPV vaccine works best if administered before exposure to the virus, so it is not effective in treating existing HPV infections or genital warts.
C. While true that the HPV vaccine is typically recommended for individuals within a certain age range, this statement doesn't address the client's specific query about getting rid of existing genital warts.
D. Involving the physician in vaccine candidacy is a good step but doesn't directly address the client's query about HPV infection and genital warts.
Correct Answer is C
Explanation
A. Flexion refers to bending a joint, usually decreasing the angle between two body parts.
B. Extension refers to straightening or increasing the angle between two body parts.
C. Abduction involves moving a body part away from the midline or center of the body.
D. Adduction involves moving a body part toward the midline or center of the body.
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