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Glasgow Coma Scale A scale used to assess level of consciousness in clients with traumatic brain injury.
Diplopia Double vision, indicating a risk for damage to the optic tract.
Heart rate Indicator of increasing intracranial pressure in clients with traumatic brain injury.
Ataxia Loss of coordination, indicating a risk for brainstem or cerebellar injury.
Tachycardia Sign of increased intracranial pressure in clients with traumatic brain injury.
Amnesia Loss of memory, not indicating increased intracranial pressure.
Hypotension Sign of increased intracranial pressure in clients with traumatic brain injury.
Restlessness Sign of increasing intracranial pressure, along with irritability and confusion.
Decreased level of consciousness Manifestation of increased intracranial pressure, along with severe headache and unreactive pupils.
Tachypnea Sign of increasing intracranial pressure, with decreased respiratory rate.
Bilateral weakness of extremities Early manifestation of increased intracranial pressure.
Mannitol 25% Osmotic diuretic used to lower intracranial pressure.
Pushes the painful stimulus away Expected response to painful stimulus in motor function assessment.
Adjust the client’s head of bed Action to maintain cerebral perfusion pressure in severe traumatic brain injury.
Reduce edema of the brain Purpose of administering osmotic diuretic to client with increased intracranial pressure.
Extension of the arms Expected finding in decerebrate posturing.
Elevate the head of the bed Intervention to promote reduction of intracranial pressure.
Use pillows to keep heels off the bed surface Nursing action to prevent skin breakdown in client with spinal cord injury and paralysis.
Nuchal rigidity Manifestation of increased intracranial pressure in client with suspected bacterial meningitis.
Brisk pupillary reaction to light Expected finding in infant with motor vehicle crash and increased intracranial pressure.
Paraplegia Type of disability associated with spinal cord injury at T2-T3 vertebrae.
Pacemaker spikes before each QRS complex Indication of proper functioning of ventricular pacemaker.
Hypotension Adverse effect of verapamil, a calcium channel blocker.
Atrial fibrillation Dysrhythmia characterized by rapid and irregular heart rate with no visible P waves.
Pacemaker spikes before each QRS complex Indication of proper functioning of ventricular pacemaker.
Defibrillation Priority action for client with ventricular fibrillation.
Irregular pulsations Finding on auscultation of apical pulse in client with premature ventricular contractions.
Ventricular fibrillation ECG finding in client with sudden onset of irregular palpitations, fatigue, and dizziness.
To reduce the risk of stroke in clients who have atrial fibrillation Purpose of administering dabigatran to client with atrial fibrillation.
The client experiences sudden weakness of one arm and leg Priority finding in client with atrial fibrillation receiving heparin.
Irregular Pulse characteristic in client with atrial fibrillation.
To reduce the risk of stroke in clients who have atrial fibrillation Purpose of administering dabigatran to client with atrial fibrillation.
The client experiences sudden weakness of one arm and leg Priority finding in client with atrial fibrillation receiving heparin.
Irregular Pulse characteristic in client with atrial fibrillation.
To reduce the risk of stroke in clients who have atrial fibrillation Purpose of administering dabigatran to client with atrial fibrillation.
The client experiences sudden weakness of one arm and leg Priority finding in client with atrial fibrillation receiving heparin.
Irregular Pulse characteristic in client with atrial fibrillation.
To reduce the risk of stroke in clients who have atrial fibrillation Purpose of administering dabigatran to client with atrial fibrillation.
The client experiences sudden weakness of one arm and leg Priority finding in client with atrial fibrillation receiving heparin.
Irregular Pulse characteristic in client with atrial fibrillation.
To reduce the risk of stroke in clients who have atrial fibrillation Purpose of administering dabigatran to client with atrial fibrillation.
The client experiences sudden weakness of one arm and leg Priority finding in client with atrial fibrillation receiving heparin.
Irregular Pulse characteristic in client with atrial fibrillation.
To reduce the risk of stroke in clients who have atrial fibrillation Purpose of administering dabigatran to client with atrial fibrillation.
The client experiences sudden weakness of one arm and leg Priority finding in client with atrial fibrillation receiving heparin.
Irregular Pulse characteristic in client with atrial fibrillation.
To reduce the risk of stroke in clients who have atrial fibrillation Purpose of administering dabigatran to client with atrial fibrillation.
The client experiences sudden weakness of one arm and leg Priority finding in client with atrial fibrillation receiving heparin.
Irregular Pulse characteristic in client with atrial fibrillation.
To reduce the risk of stroke in clients who have atrial fibrillation Purpose of administering dabigatran to client with atrial fibrillation.
The client experiences sudden weakness of one arm and leg Priority finding in client with atrial fibrillation receiving heparin.
Irregular Pulse characteristic in client with atrial fibrillation.
To reduce the risk of stroke in clients who have atrial fibrillation Purpose of administering dabigatran to client with atrial fibrillation.
The client experiences sudden weakness of one arm and leg Priority finding in client with atrial fibrillation receiving heparin.
Irregular Pulse characteristic in client with atrial fibrillation.
To reduce the risk of stroke in clients who have atrial fibrillation Purpose of administering dabigatran to client with atrial fibrillation.
The client experiences sudden weakness of one arm and leg Priority finding in client with atrial fibrillation receiving heparin.
Irregular Pulse characteristic in client with atrial fibrillation.
To reduce the risk of stroke in clients who have atrial fibrillation Purpose of administering dabigatran to client with atrial fibrillation.
The client experiences sudden weakness of one arm and leg Priority finding in client with atrial fibrillation receiving heparin.
Irregular Pulse characteristic in client with atrial fibrillation.
To reduce the risk of stroke in clients who have atrial fibrillation Purpose of administering dabigatran to client with atrial fibrillation.
The client experiences sudden weakness of one arm and leg Priority finding in client with atrial fibrillation receiving heparin.
Irregular Pulse characteristic in client with atrial fibrillation.
To reduce the risk of stroke in clients who have atrial fibrillation Purpose of administering dabigatran to client with atrial fibrillation.
The client experiences sudden weakness of one arm and leg Priority finding in client with atrial fibrillation receiving heparin.
Irregular Pulse characteristic in client with atrial fibrillation.
To reduce the risk of stroke in clients who have atrial fibrillation Purpose of administering dabigatran to client with atrial fibrillation.
The client experiences sudden weakness of one arm and leg Priority finding in client with atrial fibrillation receiving heparin.
Irregular Pulse characteristic in client with atrial fibrillation.
To reduce the risk of stroke in clients who have atrial fibrillation Purpose of administering dabigatran to client with atrial fibrillation.
The client experiences sudden weakness of one arm and leg Priority finding in client with atrial fibrillation receiving heparin.
Irregular Pulse characteristic in client with atrial fibrillation.
To reduce the risk of stroke in clients who have atrial fibrillation Purpose of administering dabigatran to client with atrial fibrillation.
The client experiences sudden weakness of one arm and leg Priority finding in client with atrial fibrillation receiving heparin.
Irregular Pulse characteristic in client with atrial fibrillation.
To reduce the risk of stroke in clients who have atrial fibrillation Purpose of administering dabigatran to client with atrial fibrillation.
The client experiences sudden weakness of one arm and leg Priority finding in client with atrial fibrillation receiving heparin.
Irregular Pulse characteristic in client with atrial fibrillation.
To reduce the risk of stroke in clients who have atrial fibrillation Purpose of administering dabigatran to client with atrial fibrillation.
The client experiences sudden weakness of one arm and leg Priority finding in client with atrial fibrillation receiving heparin.
Irregular Pulse characteristic in client with atrial fibrillation.
To reduce the risk of stroke in clients who have atrial fibrillation Purpose of administering dabigatran to client with atrial fibrillation.
The client experiences sudden weakness of one arm and leg Priority finding in client with atrial fibrillation receiving heparin.
Irregular Pulse characteristic in client with atrial fibrillation.
To reduce the risk of stroke in clients who have atrial fibrillation Purpose of administering dabigatran to client with atrial fibrillation.
The client experiences sudden weakness of one arm and leg Priority finding in client with atrial fibrillation receiving heparin.
Irregular Pulse characteristic in client with atrial fibrillation.
To reduce the risk of stroke in clients who have atrial fibrillation Purpose of administering dabigatran to client with atrial fibrillation.
The client experiences sudden weakness of one arm and leg Priority finding in client with atrial fibrillation receiving heparin.
Irregular Pulse characteristic in client with atrial fibrillation.
To reduce the risk of stroke in clients who have atrial fibrillation Purpose of administering dabigatran to client with atrial fibrillation.
The client experiences sudden weakness of one arm and leg Priority finding in client with atrial fibrillation receiving heparin.
Irregular Pulse characteristic in client with atrial fibrillation.
To reduce the risk of stroke in clients who have atrial fibrillation Purpose of administering dabigatran to client with atrial fibrillation.<\/p>\n","protected":false},"excerpt":{"rendered":"Exam 2: NSG233\/ NSG 233 (New 2023\/ 2024 Update) Med Surg 3 Exam| Questions and Verified Answers| 100% Correct| Graded A- Herzing Exam 2: NSG233\/ NSG 233 (New 2023\/ 2024Update) Med Surg 3 Exam| Questions andVerified Answers| 100% Correct| Graded AHerzingQUESTIONThe client experiences sudden weakness of one arm and legAnswer:Priority finding in client with atrial […]<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"site-sidebar-layout":"default","site-content-layout":"","ast-site-content-layout":"default","site-content-style":"default","site-sidebar-style":"default","ast-global-header-display":"","ast-banner-title-visibility":"","ast-main-header-display":"","ast-hfb-above-header-display":"","ast-hfb-below-header-display":"","ast-hfb-mobile-header-display":"","site-post-title":"","ast-breadcrumbs-content":"","ast-featured-img":"","footer-sml-layout":"","ast-disable-related-posts":"","theme-transparent-header-meta":"","adv-header-id-meta":"","stick-header-meta":"","header-above-stick-meta":"","header-main-stick-meta":"","header-below-stick-meta":"","astra-migrate-meta-layouts":"default","ast-page-background-enabled":"default","ast-page-background-meta":{"desktop":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"ast-content-background-meta":{"desktop":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"footnotes":""},"categories":[25],"tags":[],"class_list":["post-131853","post","type-post","status-publish","format-standard","hentry","category-exams-certification"],"_links":{"self":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/posts\/131853","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/comments?post=131853"}],"version-history":[{"count":0,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/posts\/131853\/revisions"}],"wp:attachment":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/media?parent=131853"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/categories?post=131853"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/tags?post=131853"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}