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Tell the client that hallucinations are not real. This is incorrect because it can increase the client's anxiety and confusion. The nurse should acknowledge the client's feelings and perceptions, but not reinforce or argue with them.

Speak slowly and clearly. This is incorrect because it is not the best first action. While speaking slowly and clearly can help communicate with the client, it does not address the root cause of the delirium.

Request the assistance of physical therapy. This is incorrect because it is not relevant to the question. Physical therapy may be helpful for some clients with delirium, but it is not a priority intervention.

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.

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

The client's refusal to take the prescribed antiplatelet is not the priority assessment finding because it does not indicate an immediate threat to the client's life or neurological function. However, the student nurse should still educate the client about the importance of taking the medication as prescribed and report the refusal to the primary nurse.

Blood pressure 174/84 is not the priority assessment finding because it is not significantly elevated for a client with acute hemorrhagic stroke. The goal of blood pressure management inthis condition is to maintain a systolic blood pressure between 150 and 220 mm Hg and a diastolic blood pressure between 80 and 120 mm Hg to prevent further bleeding and maintain cerebral perfusion.

Blood glucose of 120 is not the priority assessment finding because it is within the normal range for a client with acute hemorrhagic stroke. The goal of blood glucose management in this condition is to maintain a blood glucose level between 80 and 180 mg/dL to prevent hyperglycemia or hypoglycemia, which can worsen cerebral ischemia and edema.

Provide fluid hydration is not the purpose of the medication because mannitol does notincrease fluid intake or retention in the body. On the contrary, mannitol causes fluid loss through increased urine output and can lead to dehydration if not monitored carefully.

Increase cell size in the brain is not the purpose of the medication because mannitol does not cause cellular swelling or expansion in the brain. On the contrary, mannitol causes cellular shrinkage or contraction by removing fluid from the brain cells.

Expand extracellular fluid volume is not the purpose of the medication because mannitol does not increase fluid volume or distribution in the body. On the contrary, mannitol causes fluid shift from one compartment to another, which can result in fluid overload or imbalance if not monitored carefully.

Brain Tumor: This is incorrect because brain tumors usually cause gradual and progressive neurological symptoms, not sudden changes in mental status.

Acute subdural hematoma: This is incorrect because acute subdural hematomas occur within 24 hours of head trauma and cause rapid deterioration of consciousness, not slow decline.

Acute hemorrhagic stroke: This is incorrect because acute hemorrhagic strokes usually present with severe headache, nausea, vomiting, and focal neurological deficits, not subtle changes in cognition.

A 18 month old child learning how to walk who has a history of febrile seizure: This isincorrect because febrile seizures are usually benign and do not increase the risk of traumatic brain injury, unless they cause prolonged loss of consciousness or convulsions.

A 35year old female who works at a steel mill and who has absence seizures: This is incorrect because absence seizures are brief and do not impair awareness or motor function, so they do not increase the risk of traumatic brain injury, unless they occur frequently or unpredictably.

A75 year old female client with osteoporosis and who is on clopidogrel (Plavix) for atrial fibrillation: This is incorrect because although this client has several risk factors for bleeding and falls, she is not more likely to sustain a traumatic brain injury than the other choices, unless she has a history of previous head trauma or anticoagulant overdose.

This is incorrect because cranial nerve XI is the accessory nerve, which innervates thetrapezius and sternocleidomastoid muscles. Asking the client to shrug his shoulders against passive resistance tests this nerve.

This is incorrect because cranial nerve VII is the facial nerve, which controls facial expressions. Observing the client's ability to smile and frown tests this nerve.

This is incorrect because cranial nerve VIII is the vestibulocochlear nerve, which is involved in balance and hearing. Having the client stand with eyes his closed and touch his nose tests this nerve.

This is incorrect because lethargy after administration of pain medication may be due to the sedative effect of the medication and not necessarily increased intracranial pressure.

This is incorrect because lack of emotional response may be related to other factors such as depression, anxiety, or personality changes and not necessarily increased intracranial pressure.

This is incorrect because CheyneStokes breathing pattern is a late sign of increased intracranial pressure, indicating brainstem dysfunction.

This is incorrect because obtaining a culture of the specimen is not a priority intervention for a client with suspected CSF leak. It could also introduce bacteria into the CSF and causemeningitis.

This is incorrect because suctioning the nose could increase intracranial pressure and worsen the CSF leak. It could also damage the nasal mucosa and cause bleeding.

This is incorrect because inserting sterile packing into the nares could obstruct the drainage of CSF and increase intracranial pressure. It could also cause pressure necrosis of the nasal tissue.

This is incorrect because beta blockers are not used to treat multiple sclerosis. They are used to treat hypertension, angina, arrhythmias, and other cardiovascular conditions.

This is incorrect because antispasmodics are not used to treat urinary constipation. They are used to treat urinary frequency, urgency, and incontinence, which are common symptoms ofmultiple sclerosis.

This is incorrect because corticosteroids are not used to put the disease process into remission.They are used to reduce inflammation and edema during acute exacerbations of multiple sclerosis.