A nurse is caring for a client admitted with a skull

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46. A nurse is caring for a client admitted with a skull fracture. Which of the following assessment findings should be of greatest concern to the nurse? a. Glasgow coma scale score changes from 14 to 9 b. Bilateral pupil diameter changes from 4 to 2 mm c. Pulse pressure changes from 30 to 20 mm Hg d. WBC count changes from 9000 to 16,000 mm3
47. 48. A nurse is caring for a client who is taking furosemide. The client has a potassium level of 3.1 mEq/L. Which of the following should the nurse assess first?
49. A nurse is caring for a client who is scheduled for an abdominal paracentesis. The nurse should plan to take which of the following actions? P . 299 ati ms pdf 10.0
50. A nurse is caring for a client who is 6 hours postoperatively following a thyroidectomy. The client reports tingling and numbness in the hands. The nurse should identify this as a sign of which of following electrolytes imbalances?
51. A nurse is assessing a client 15 min after the start of a transfusion of 1 unit of packed RBC’s. Which of the following findings is an indication of a hemolytic transfusion reaction? Page 250 MS ATI PDF 10.0 under acute hemolytic complications a. Hypotension- YESSIR! b. Bradypnea-tachypnea ( RR > 20) it will produce c. Bradycardia- tachycardia it will produce d. Hypothermia- FEVER is a complication of a hemolytic reaction
52. A nurse in an emergency department is caring for a client who has sinus bradycardia. Which of the following actions should the nurse take first?

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