The nurse is caring for a client who suffered a skull fracture 6 hours ago and has a positive halo sign, or ring sign. The nurse should recognize that this finding is associated with an increased risk for which of the following?

Preparing to calculate GCS. What actions do you take?

Patient with expressive aphasia has a possible stroke. Have taught spouses how to facilitate communication. What requires follow up?

The nurse is caring for a client who has aphasia following a stroke. Which of the following would facilitate communication with the client?

The nurse on the neurosurgical unit is receiving a client who has a history of transient ischemic attacks and had an intracranial stent placed 30 minutes ago. Which of the following would be a standard post-procedure nursing measure after intracranial stent placement?

The nurse on the neurological unit is caring for a client who sustained a basilar skull fracture 6 hours ago. The client is awake and oriented. Which of the following remarks by the client should be a priority for the nurse to follow up?

The nurse caring for a client who has hemiparesis following a right hemispheric stroke has taught the client’s spouse ways to help care for the client. Which of the following actions by the client’s spouse would require the nurse to intervene?

The nurse on the neurological unit is caring for a client who had a traumatic brain injury. The client’s Glasgow Coma Score has changed from 10 to 9, and the client is snoring. Which of the following actions would be appropriate for the nurse to take?

The nurse on the neurological care unit has reviewed health care provider prescriptions for assigned clients. The nurse should contact the health care provider and clarify which of the following prescriptions?

The nurse on the neurological unit is preparing to receive a client from the emergency department who had an ischemic stroke. The nurse demonstrates appropriate anticipation of the client’s potential needs by gathering which of the following? Select all that apply. A. Equipment for suctioning B. Bedpan C. Siderail pads D. NPO door sign E. A meal tray ready for the patient to eat

The nurse on the neurological unit is positioning a client who had a stroke two days ago and has left-sided hemiparesis. Which of the following actions by the nurse would be appropriate? Select all that apply. A. Trochanter roll on left side B. Securing left arm in a cling C. Having the patient use their right side for activities D. Provide the patient with a general diet

The nurse in the emergency department receives a client who was transported from a prison with high fever, severe headache, and a non-blanchable rash on the trunk and lower extremities. Which of the following actions would be appropriate for the nurse to take, while the staff works to confirm a diagnosis?

The nurse is caring for a group of assigned clients.  Which of the following client's should the nurse see first?

The nurse has taught a client about newly prescribed clopidogrel. Which of the following statements, by the client, would indicate a correct understanding of the teaching?

The nurse is planning an education conference about anticoagulation and the direct factor Xa inhibitor medications. Which of the following medications should the nurse include in the conference? Select all that apply. A. Coumadin B. Riboroxaban C. Epixiban D. Acetaminophen

The nurse is planning an education conference about an intravenous anesthetic sedative medication that has rapid onset, short half-life and is used to manage anxiety and agitation in the ICU. Which of the following medications should the nurse include in the conference?

In ED, patient with signs of a stroke. Spouse says it started 90 minutes ago. Confirm stroke via CT, rule out intracranial hemorrhage. What do you do?