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COMPREHENSIVE NEUROLOGICAL NURSING STUDY GUIDE FOR ATI MED-SURG EXAM

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1.A client is admitted to the hospital for severe headaches. The client has a history of increased intracranial pressure (ICP), which has required lumbar punctures to relieve the pressure by draining ... cerebrospinal fluid. The client suddenly vomits and states, "That's weird, I didn't even feel nauseated." Which action by the nurse is the most appropriate? 1.Document the amount of emesis 2.Lower the head of the bed 3.Notify the health care provider (HCP) 4.Offer anti-nausea medication Answer: 3 2.The nurse in the outpatient clinic is speaking with a client diagnosed with cerebral arteriovenous malformation. Which statement would be a priority for the nurse to report to the health care provider? 1."I got short of breath this morning when I worked out." 2."I have cut down on smoking to 1/2 pack per day." 3."I haven't been feeling well, so I have been sleeping a lot." 4."I took an acetaminophen in the waiting room for this bad headache." Answer: 4 [Show More]

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