Term
What is Cushings Triad?
What is Cushing's Triad and indication of?
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Definition
Cushings Triad is irregular respirations,
systolic increases and widens the gap between the diastolic BP
Bradycardia initially the HR increases but ultimately becomes bradycardic.
Cushings Triad indicates an increased intracranial pressure.
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Term
| What are the levels of Anxiety? |
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Definition
| Mild, moderate, severe, and Panic |
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Term
A nurse is caring for a patient that suddenly experiences temporary light headedness, trouble speaking, and severe muscle weakness. What is the nurses priority action?
a. perform a neurological exam
b. Implement aspiration precautions
c. check the patients capillary blood sugar
d. assess forexpressive and receptive aphasia |
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Definition
| Perform a neurological exam. |
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Term
A nurse is planning care for a patient that has reached the chronic phase of treatment for a neurological deficit. The priority nursing action for this patient is?
a. frequently monitor neurological status
b. assessing the patients potential for improvement
c. preventing physical or psychological complications
d. coordinating the multidisciplinary rehabilitation team |
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Definition
| Prevent physical and psychological complications. |
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Term
The nurse is planning care for a client who is to start a bladder training program. Important information to be covered is?
a. Instructing the client to limit fluid intake to decrease the risk of incontinence
b. Encourage the client to attempt to void every four to six hours while awake
c. Teaching the client to avid movements that increase abdominal pressure when voiding
d. Assisting the client to identify body sensations that indicate the client has a full bladder |
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Definition
| Assisting the client to identify body sensations that indicate the client has a full bladder. |
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