.0 M8E_N213
1.25/1.25 points (graded)
Which assessment data should the RN collect first from the client brought to the Emergency Department with confusion and a decreased level of consciousness?
History of drug
...
.0 M8E_N213
1.25/1.25 points (graded)
Which assessment data should the RN collect first from the client brought to the Emergency Department with confusion and a decreased level of consciousness?
History of drug or alcohol abuse. Current medications.
Family medical history.
Onset of symptoms correct
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Correct (1.25/1.25 points)
2.0 M8E_N213
1.25/1.25 points (graded)
The RN uses the Glasgow Coma Scale (GCS) to assess a client with an acute brain injury and notes a score of four (4). Which intervention is a priority for this client?
Maintain the airway. correct Improve extremity range of motion. Promote skin integrity.
Prevent injury.
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Correct (1.25/1.25 points)
3.1 M8E_N213
1.25/1.25 points (graded)
An RN is caring for a client with Multiple Sclerosis, who is experiencing weakness in their extremities. Which of the following would be an appropriate expected outcome for a client with Impaired physical mobility? The client will:
Participate in strenuous exercise as tolerated. Apply orthotics to reduce contractures.
The client will use assistive devices effectively. correct
Take a hot bath daily to limit spasticity.
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Correct (1.25/1.25 points)
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