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Terms in this set (36)
Client has meningitis, what should the nurse Flexion of the hip and knees with passive flexion of the neck.
find during assessment?
Priority actin for taking care of patient with Protecting patient from injury.
seizure
What do you do prior to a electorconvusive Spinal X-ray
therapy?
Priority action for a tonic-clonic seizure Note the first thing the client does; this provides information
on which part in the brain the seizure began.
Priority nursing intervention for closed head maintain adequate airway
injury
Most important risk factor for a stroke Hypertension
Unstable spinal cord at T7. What is priority Place client on pressure reducing support surface; they are at
action during care? risk for skin breakdown due to immobility
Most helpful intervention with AD. Communication strategies
A client with spinal cord injury is at risk for Sever throbbing headache
experiencing autonomic dysreflexia. The
nurse will monitor this manifestations
How should a nurse care for a client with Use hands to communicate, use picture board and flash cards,
receptive and expressive aphasia, and speak slowly.
communicate with them?
Nurse is caring for Epidermal Hematoma. -Ensure pulse oximeter is greater than 93%
What are the nursing interventions? - Administer mild sedatives
- Administer stool softeners daily
Client is unconscious following a tonic- Place client on side-lying position
clonic seizure, what should the nurse do
first?