NURSE-UN 1243 Study Guide - Midterm Guide: Phenytoin, Pharyngeal Reflex, Glioblastoma Multiforme
29 Apr 2019
School
Department
Course
Professor
Document Summary
Upon assessing the patient, you note that he is lying flat in a supine position and has been incontinent of urine. What is the priority nursing intervention for this patient at this time: assess for gag reflex, elevate the head of bed, an hour later after a ct scan, the patient is diagnosed with a left hemisphere stroke. What is the nurse best interpretation: the client"s condition is deteriorating, the client will need intubation and mechanical ventilation, the rn is supervising a senior nursing student who is caring for a client with a right hemisphere stroke. Which action requires intervene: instructing the client to sit up straight and the client responds with a puzzled expression, rationale: client with right cerebral hemisphere stroke often manifest neglect syndrome. They lean to the left and respond as sitting upright: a client who recently started taking phenytoin to control simple partial seizures is seen in the outpatient clinic.
