A neurological nurse is conducting a scheduled assessment of a patient who is receiving care on the unit. The nurse is aware of the need to conduct a vigilant assessment of the patient's level of consciousness (LOC).
How should the nurse best gauge a patient's LOC?
A) By assessing according to the Glasgow Coma Scale (GCS)
B) By eliciting the patient's response to a question requiring judgment
C) By engaging the patient in a conversation, if possible
D) By observing the patient's interactions with caregivers
Question 2
A patient with a diagnosis of syndrome of inappropriate antidiuretic hormone secretion (SIADH) is being cared for on a medical unit, and the nurse is writing an individualized care plan.
The priority nursing diagnosis for a patient with this condition is what?
A) Deficient fluid volume
B) Excessive fluid volume
C) Hypothermia
D) Hyperthermia
The nurse needs to inform the patient with impaired vision when a touch is to occur and ask permissi
Physical therapist assisting a patient to walk in the parallel bars.
The nurse applies a pulse oximeter sensor on the client’s finger.
The nurse uses a noninvasive bladder ultrasound to measure the client’s bladder volume.
A patient with exophthalmos.
Koplik spots in the mouth of a patient with measles.