The patient is hospitalized following a cerebrovascular accident (CVA). The patient calls out to report a sudden, pounding headache. Which assessments are the priority? Select all that apply.
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- Category: Reduction of Risk Potential
- Difficulty: 5
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Additional Reduction of Risk Potential Questions
- Question Type: Multiple Choice - Select All
- Difficulty: 7
The 20-year-old patient with asthma presents to the emergency department with increased work of breathing and severe wheezing after exposure to household dust and mold. The patient used the albuterol inhaler 6 times in the previous 4 hours with minimal relief. Upon inspection, the nurse notes extensive accessory respiratory muscle use with moderate supraclavicular retractions and nasal flaring. The nurse auscultates expiratory wheezing in all lung fields. The patient is afebrile, normotensive, significantly tachypneic, and mildly tachycardic. The nurse anticipates which findings on a chest x-ray?
- Question Type: Multiple Choice - Select One
- Difficulty: 9
The 5-day-old infant presents to the pediatrician's office for a well-baby visit. The parents report being happy that their child is a "good baby" who sleeps a lot and rarely cries. They also report the baby eats 4 times per day, sleeping for 8 hours at night. The nurse notes the baby is at the 70th percentile for weight. Upon assessment, the baby is minimally responsive. The nurse is most concerned about which condition?
- Question Type: Multiple Choice - Select One
- Difficulty: 4
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