Which assessment would the nurse perform specific to the safe administration of intravenous mannitol?

A client has clear fluid leaking from the nose followed a basilar skull fracture. Which finding would alert the nurse that cerebrospinal fluid (CSF) is present?

The nurse has just received shift report. Which client will the nurse assess first?

A nurse assesses a client who experienced a spinal cord injury at the T5 level 20 minutes ago. Which assessment finding would the nurse correlate with neurogenic shock?

Which assessment findings would the nurse expect to find in a client diagnosed with amyotrophic lateral sclerosis (ALS)? Select all that apply.

The nurse is assessing vital signs for a client on the neurological unit. Which set of vital signs is indicative of Cushing's triad?

The nurse is reviewing the prescription for a client admitted to the hospital with a diagnosis of acute pancreatitis. Which interventions would the nurse anticipate for the client? Select all that apply.

A client with a spinal cord injury at the T12 level is admitted to the rehabilitation unit one month post injury. Which intervention would the nurse include in the client's plan of care?

The nurse is caring for a client with peritonitis. Which collaborative interventions would the nurse anticipate? Select all that apply.

The nurse is providing discharge teaching for a client with newly diagnosed Crohn's disease. Which statement made by the client indicates a need for further instruction?

A nurse is calculating the client's net fluid balance at the end of the 8 hour shift. The nurse notes the following: client voided 400 mL at 1100 and 350 mL at 1430. The closed chest drainage system was previously marked at 155 mL and is now at 175 mL. The NG tube has 575 mL in the drainage container and 25 mL was emptied out of the Jackson-Pratt drainage tube. The patient is receiving 1/2 NS at 100 mL/hr. How many mL would the nurse record as the client's net fluid balance for this shift? Round to the nearest whole number. Record numeric answers only. Enter a + prior to the value if the value is positive, Enter a - prior to the answer if the value is negative.

The nurse planning care for a client with a halo fixator. Which intervention would the nurse include in the plan of care for this client?

The nurse is assisting a neurologist conducting a Tensilon test with Edrophonium. Which antidote will the nurse ensure is available in case of an emergency?

The nurse is caring for a 31 year old client admitted to the acute care unit. Complete the diagram by selecting from the choices below to specify what potential condition the client is likely experiencing. Select two nursing actions that are appropriate to take, and two clinical parameters to determine the effectiveness of the nursing actions.

The client is admitted to the hospital with a diagnosis of Guillain-Barre Syndrome (GBS). Which past medical event makes the client most at risk for the disease?

The nurse is caring for a client who is 24 hours postoperative for a craniotomy to remove a brain tumor. In what position would it be important for the nurse to maintain the client?

Which IV site is most appropriate for a client who is ordered to receive total parental nutrition?

The client was admitted to the medical-surgical unit 24 hours ago with a diagnosis of an acute exacerbation of ulcerative colitis. What is the most appropriate intervention for the nurse to implement?

The nurse has completed discharge instructions for a client with application of a halo device who sustained a cervical spinal cord injury. Which statement indicates that the client needs further clarification of the instructions?

The nurse is caring for a client diagnosed with acute pancreatitis experiencing abdominal pain. What order would be the most appropriate?

Which nursing intervention is priority when suctioning a client with increased intracranial pressure (ICP)?

A client who has multiple sclerosis reports muscle tremors. What nursing action is most appropriate to manage this client's concern?

A client presents to the emergency department after falling down the stairs and has a suspected head injury. What is the nurse's priority once a patent airway is confirmed?

The client recovering from acute pancreatitis who has been nothing by mouth (NPO) asks, "When can I start eating again?" Which response by the nurse is most accurate?