Which term would the nurse use to document a patient who is comatose from a head injury and display flexion of the arms, wrists, and fingers, as well as adduction of the upper extremities?

Which intervention would the nurse implement to provide relief of the patient's discomfort when presenting to the clinic with a red, swollen, circumscribed, acutely, tender area near the eye and in the lid margin?

A nurse is caring for a client who had a stroke involving the right cerebral hemisphere. The nurse should monitor for which of the following findings?

Which outcome would concern the nurse when the patient's calculated mean arterial pressure (MAP) is below 70 mm Hg?

when assessing a patient's neurologic status upon arrival to the emergency room, which reliable indicator would the nurse utilize first?

Which medical condition places a patient at a higher risk for an embolic stroke?

After receiving pre procedural instructions, which patient statement demonstrates an understanding of a scheduled ventriculostomy?

A 70-year-old patient brought in the ED by family member after falling off the ladder. His medical history includes hypertension, osteoarthritis, and type 2 diabetes mellitus. Upon nursing assessment, he has laceration on his left side of temple and bruises on left patella. His speech is slightly slurred and a weak cough reflex. Patient is alert and oriented X2 and having restlessness. Vital signs: Blood pressure 152/59, pulse 87, respirations 20. Oxygen saturation is 90% room air. He reported having slight headache and tolerable pain of 3/10 on his left knee.

The nurse is reviewing the client' assessment data to prepare the client's plan of care.

Complete the diagram by dragging from the choices below to specify what condition the client is most likely experience. 2 actions the nurse should take to address that condition and 2 parameters the nurse should monitor to assess the client's progress.

A nurse is caring for a client who has increased intracranial pressure (ICP) following a closed- head injury. Which of the following actions should the nurse take?

A nurse is teaching a client who has diabetes mellitus about diabetic retinopathy. Which of the following statements should the nurse make to the client?

A nurse is monitoring a client who had a cerebral aneurysm rupture. Which of the following findings should the nurse identify as a manifestation of increased intracranial pressure?