A client comes to the emergency department complaining of headache, malaise, chills, fever, and a stiff neck. Vital sign assessment reveals a temperature elevation, increased heart and respiratory ra... tes, and normal blood pressure. On physical examination, the nurse notes confusion, a petechial rash, nuchal rigidity, Brudzinski's sign, and Kernig's sign. What do these manifestations indicate? You Selected: Increased intracranial pressure (ICP) Correct response: Meningeal irritation Explanation: Remediation: Question 2 See full question What should a nurse do when administering pilocarpine? You Selected: Apply pressure on the outer canthus to prevent adverse reactions. Correct response: Apply pressure on the inner canthus to prevent systemic absorption. Explanation: Remediation: Question 3 See full question A registered nurse (RN) and licensed practical nurse (LPN) are administering medications on the neurologic floor. The LPN prepares to administer phenytoin to a client with a history of seizures. As the LPN walks into the room, she hands the medication to a nursing assistant. The LPN asks the nursing assistant to give the client the medication after completing the client's morning care. What should the registered nurse do? You Selected: Take the medication from the nursing assistant and administer it. Correct response: Remind the LPN that she must administer the medications herself. [Show More]
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