1.0 M7Q_N213
5 points possible (graded, results hidden)
Which complication should the RN assess for in an unconscious client that has bradycardia,
bradypnea,and hypertension?
Ineffective peripheral tissue perfusion
Increased intracranial pressure
Autonomic dysreflexia
Respiratory arrest submitted
1.0 M7Q_N213
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2.0 M7Q_N213
5 points possible (graded, results hidden)
Which assessment finding indicates to the RN that the administration of Recombinant t-PA is
contraindicated in a client diagnosed with an ischemic stroke? Select all that apply.
Systolic blood pressure greater than 185 mm Hg.
Older than 18 years of age.
, Time of onset of stroke is not known.
Prescription for warfarin for atrial fibrillation.
Platelet count greater than 100,000/mm3.
submitted
2.0 M7Q_N213
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3.0 M7Q_N213
5 points possible (graded, results hidden)
A pediatric client has clear fluid draining from the nose following a skull fracture. Which intervention
should the RN implement first?
Notify the health care provider. submitted
Apply a sterile gauze pad under the nose.
Place the client in semi-Fowler’s position.
Prepare to administer an antibiotic.
3.0 M7Q_N213
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4.0 M7Q_N213
5 points possible (graded, results hidden)
The assistive personnel (AP) is providing care for a client who is experiencing a seizure while in bed.
Which intervention by the AP warrants immediate intervention by the RN?
Attempts to insert an oral airway. submitted
Removes the pillows from the bed.
Positions the client on their side.
Makes sure all of the side rails are up.
4.0 M7Q_N213
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5 points possible (graded, results hidden)
Which complication should the RN assess for in an unconscious client that has bradycardia,
bradypnea,and hypertension?
Ineffective peripheral tissue perfusion
Increased intracranial pressure
Autonomic dysreflexia
Respiratory arrest submitted
1.0 M7Q_N213
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2.0 M7Q_N213
5 points possible (graded, results hidden)
Which assessment finding indicates to the RN that the administration of Recombinant t-PA is
contraindicated in a client diagnosed with an ischemic stroke? Select all that apply.
Systolic blood pressure greater than 185 mm Hg.
Older than 18 years of age.
, Time of onset of stroke is not known.
Prescription for warfarin for atrial fibrillation.
Platelet count greater than 100,000/mm3.
submitted
2.0 M7Q_N213
Submit
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3.0 M7Q_N213
5 points possible (graded, results hidden)
A pediatric client has clear fluid draining from the nose following a skull fracture. Which intervention
should the RN implement first?
Notify the health care provider. submitted
Apply a sterile gauze pad under the nose.
Place the client in semi-Fowler’s position.
Prepare to administer an antibiotic.
3.0 M7Q_N213
, Submit
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4.0 M7Q_N213
5 points possible (graded, results hidden)
The assistive personnel (AP) is providing care for a client who is experiencing a seizure while in bed.
Which intervention by the AP warrants immediate intervention by the RN?
Attempts to insert an oral airway. submitted
Removes the pillows from the bed.
Positions the client on their side.
Makes sure all of the side rails are up.
4.0 M7Q_N213
Submit
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