The portion of the peripheral nervous system, activated by stress, prepares the body for the fight or flight response?

A client who has Parkinson’s disease has a nursing diagnosis of Self-care deficit related to immobility, tremors, and bradykinesia. Which nursing intervention is appropriate?

side effects may not occur until after treatment is completed

Monitor blood pressure level on a regular basis

A peculiar sensation that precedes a seizure and may take the form of a taste, smell, or sound

the MOST important indicator of a change in the client’s neurological status

A client with cataracts has a nursing diagnosis of Risk for injury related to difficulty in processing visual images and altered depth perception. The MOST appropriate goal for this diagnosis is that the patient will:

A nurse is caring for a client with cancer who is receiving chemotherapy. The client develops thrombocytopenia related to bone marrow dysfunction. The priority intervention for this client would be to monitor the:

assess the client’s blood pressure every few minutes until within normal limits

Client teaching for someone who is taking an anticonvulsant,

the lowest possible score indicating deep coma when evaluating a client using the Glasgow Coma Scale

A possible goal for a client with a hearing impairment would be, “The client will participate in conversations and other social situations.” Which nursing intervention is MOST appropriate to attain this goal?

Nursing interventions for a client with cancer experiencing diarrhea secondary to treatment would include

nasal suctioning is contraindicated for this client

Assess the client’s respiratory status, Note time of onset and duration, document if client is unconscious, prepare suction equipment, pad the side rails with blankets for safety. loosen restrictive clothing.

When assessing a client’s coordination, a nurse asks the client to run the heel of one foot down the opposite shin and then repeat with the other heel. The client is unable to do this

The client has a nursing diagnosis of Imbalanced Nutrition: Less than body requirements R/T inadequate caloric intake AMB cachexia. Name an appropriate nursing intervention

A client is hospitalized for the insertion of an internal cervical radiation implant. While giving care, the nurse finds the implant in the bed. The nurse would immediately:

Clear fluid in the outer ear following an open head injury

Test to diagnose meningitis

flexion of the arms, adduction of the upper extremities, and extension of the lower extremities resulting from lesions of the cerebral hemispheres or internal structures of the brain

The client has a nursing diagnosis of Acute pain secondary to cancer. The goal of the nurse in managing pain.

Nursing care of a client receiving internal radiation would include which of these approaches?

The best method to assist a client S/P back surgery

Test to diagnose seizures