Perfusion
This condition is characterized by new-onset seizures in a pregnant or postpartum client with preeclampsia.
What is eclampsia?
Injury at or above this cervical level often requires ventilatory support due to diaphragmatic paralysis
What is C3-C5?
This neurodevelopmental disorder is characterized by inattention, hyperactivity, and impulsivity.
What is ADHD?
This group of permanent movement disorders results from damage to the developing brain, affecting muscle tone, posture, and coordination.
What is Cerebral Palsy?
A client who appears fearful of their partner and lets the partner answer all questions may be experiencing this
What is intimate partner violence?
The priority nursing action during an active eclamptic seizure is to protect this.
What is the airway?
This condition occurs after spinal cord injury and is characterized by hypotension, bradycardia, and warm, dry skin.
What is spinal shock or neurogenic shock?
This is the priority nursing approach when working with a child diagnosed with ADHD in the classroom or hospital setting.
What is providing consistency and structure?
This developmental milestone is often delayed in children with cerebral palsy due to motor impairment.
What is walking or gross motor development?
This nursing action should be avoided before forensic evidence collection in sexual assault cases.
This medication is commonly given to prevent and treat seizures in eclampsia.
What is magnesium sulfate?
This is the correct method for moving a client with a suspected spinal cord injury.
What is logrolling?
This medication class is commonly prescribed as first-line treatment for ADHD
What are stimulant medications?
This is a common early sign of autism in infants, involving reduced social engagement.
What is lack of eye contact?
This is the most important nursing intervention when caring for a sexual assault survivor.
What is providing a trauma-informed, nonjudgmental environment?
A nurse should have this equipment at the bedside for a client at risk for eclampsia seizures.
What is oxygen and suction equipment?
This vital sign change is commonly seen in neurogenic shock due to unopposed parasympathetic activity.
What is bradycardia?
A key nursing assessment for children taking stimulant medications is monitoring for this effect on growth.
What is weight loss or decreased growth?
This nursing intervention helps reduce anxiety in children with autism during hospital care.
What is maintaining a consistent environment and routine?
A client discloses sexual assault but is visibly distressed and withdrawn. This is the nurse’s most appropriate initial response.
What is providing emotional support and ensuring privacy?
This medication may be used to lower dangerously high blood pressure in eclampsia.
What are antihypertensives (labetalol, hydralazine, adalat)?
A client with a cervical spinal cord injury suddenly develops dyspnea, use of accessory muscles, and oxygen saturation of 82%.
What is respiratory failure requiring immediate airway management?
A child with cerebral palsy who has difficulty swallowing is at high risk for this complication.
What is aspiration?
A child with autism becomes increasingly agitated in a noisy emergency department waiting room.
What is sensory overload?
This is the most appropriate communication style when interviewing a suspected abuse victim
What is open-ended, non-leading, and age-appropriate questioning?