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Protect the Patient Neuro/Endo

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Protect the Patient Neuro/Endo

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Protecting the Patient

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RNPRPEPBESTIE
RNPRPEPBESTIE
Estados Unidos

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Protect the Patient Neuro/EndoVersión en línea

Protecting the Patient

por RNPRPEPBESTIE
1

A 19 year old client with type 1 diabetes reports waking each morning with headaches and unusually high glucose readings despite taking the prescribed evening insulin dose . Overnight nursing notes show diaphoresis , restlessness , and a 0300 glucose level of 58 mg / dL that improved after juice . At 0700 the glucose is 268 mg / dL and the client feels fatigued and irritable . The nurse recognizes a pattern that can lead to unsafe insulin adjustments if not addressed . The priority action is to assess and .

2

A 45 - year - old client is admitted following a traumatic brain injury and is being monitored for neurological changes . Over the past hour the nurse notes increasing restlessness , a decline in level of consciousness , and new onset vomiting . Vital signs show BP 178 / 92 mmHg , HR 52 , RR 10 with irregular pattern . Pupils are sluggish and unequal compared to earlier assessment . The nurse recognizes signs of worsening intracranial pressure related to cerebral edema requiring immediate intervention . The priority action is to .

3

A 67 year old client is admitted with sudden right sided weakness and slurred speech that began 90 minutes ago . CT imaging shows no evidence of hemorrhage . Blood pressure is 198 / 104 mmHg and the client remains alert but anxious . The provider enters several urgent orders including initiation of thrombolytic therapy . Before implementing treatment , the nurse reviews the medication profile and recent history for potential contraindications . The order that requires clarification is to .

4

A 64 year old client with primary hyperparathyroidism is preparing for discharge after treatment for persistent hypercalcemia . The client reports ongoing fatigue , mild constipation , and increased thirst over several weeks . Laboratory results show a serum calcium level of 11 . 4 mg / dL and slightly reduced bone density on imaging . The client asks what daily habits at home can help prevent worsening symptoms and complications . The nurse emphasizes that the most important teaching is to .

5

A 72 year old client with type 2 diabetes is brought to the emergency department after family noted increasing confusion and extreme fatigue over several days . The client reports excessive thirst and frequent urination . Assessment shows dry mucous membranes , poor skin turgor , blood glucose of 864 mg / dL , serum osmolality markedly elevated , and blood pressure 88 / 54 mmHg with tachycardia . The nurse recognizes the immediate need to prevent circulatory collapse and worsening neurological injury . The priority action is to .

6

A 34 year old client is admitted with fever , severe headache , photophobia , and neck stiffness . Lumbar puncture confirms bacterial meningitis and IV antibiotics are initiated . During morning care the nurse observes the client becoming more irritable with increasing sensitivity to sound and light . The care plan includes several routine comfort measures . The nursing action that requires clarification is to .

7

A 29 year old client with a T4 spinal cord injury reports sudden pounding headache and facial flushing while in bed . Blood pressure is 212 / 108 mmHg and heart rate is 48 / min . The client has a distended bladder and is diaphoretic above the level of injury . The provider enters several urgent orders to manage the episode . The order that requires clarification is to .

 
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