A nurse assesses clients at a community center. Which client is ...

[ETearle]

A nurse assesses clients at a community center. Which client is at greatest risk for lower back pain?
 
  a. A 24-year-old female who is 25 weeks pregnant
  b. A 36-year-old male who uses ergonomic techniques
  c. A 45-year-old male with osteoarthritis
  d. A 53-year-old female who uses a walker

Question 2

A nurse assesses a client who has encephalitis. Which manifestations should the nurse recognize as signs of increased intracranial pressure (ICP), a complication of encephalitis? (Select all that apply.)
 
  a. Photophobia
  b. Dilated pupils
  c. Headache
  d. Widened pulse pressure
  e. Bradycardia

[mcinincha279]

Answer to Question 1

ANS: C
Osteoarthritis causes changes to support structures, increasing the client's risk for low back pain. The other clients are not at high risk.

Answer to Question 2

ANS: B, D, E
Increased ICP is a complication of encephalitis. The nurse should monitor for signs of increased ICP, including dilated pupils, widened pulse pressure, bradycardia, irregular respirations, and less responsive pupils. Photophobia and headache are not related to increased ICP.

[ETearle]

TYSM

[samiel-sayed]

Thanks for the timely response, appreciate it