The 75-year-old patient presents to the emergency department complaining of a severe headache that is localized behind the right eye. The patient is nauseous and vomits upon standing. While wearing glasses, the visual acuity is 20/25 in the left eye and 20/110 in the right (records show it is normally also 20/25 corrected). Her left pupil is equal, round, and reactive to light and accommodation; it is measured at 3 mm. Her right pupil reacts only minimally to light and measures at 5 mm; it is round. The provider palpates the eye and reports that it is tense. Her heart rate is 102 bpm and blood pressure is 118/84 mmHg. The nurse anticipates providing which intervention first?
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- Physiological Adaptation
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- Category: Physiological Adaptation
- Difficulty: 9
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Additional Physiological Adaptation Questions
- Question Type: Multiple Choice - Select One
- Difficulty: 10
The nurse is assessing the patient with a right-sided chest tube and notes rapid bubbling in the water seal chamber. Which of the following is the next best step in management?
- Question Type: Multiple Choice - Select One
- Difficulty: 5
The nurse enters the patient room to find the patient grimacing in pain with the eyes closed. The patient states, "I'm just having a migraine; I get them whenever I don't sleep well." Which intervention by the nurse is appropriate?
- Question Type: Multiple Choice - Select One
- Difficulty: 6
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