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Exam 4: NUR209/ NUR 209 (New 2024/ 2025 Update) Medical Surgical Nursing II | Questions and Verified Answers| 100% Correct| A Grade – Fortis QUESTION Admission vital signs for a brain-injured patient are blood pressure 128/68, pulse 110, and respirations 26. Which set of vital signs, if taken 1 hour after admission, will be of most concern to the nurse? Answer: Blood pressure 154/68, pulse 56, respirations 12 QUESTION An unconscious patient is admitted to the ed with a head injury. The pa- tient's spouse and teenage children stay at pt's side and ask many questions about the treatment Answer: Allow the family to stay with the patient and briefly explain all procedures to them QUESTION A 20-year old make patient is admitted with a head injury after a collision while playing football, after noting the patient has developed clear nasal drainage, which action should the nurse take? Answer: Check drainage for glucose content QUESTION A patient who has suspected epidural hematoma is admitted to the emer- gency department. Which action will the nurse expect to take? Answer: Prepare the patient for craniotomy QUESTION The public health nurse is planning a program to decrease the incidence of meningitis in teenagers and young adults. Which action is most likely to be effective? Answer: Encourage immunization for adolescent and college freshmen QUESTION Nurses in change-of-shift report are discussing the care of a patient with a stroke who has progressively increasing weakness ... Purchase document to see full attachment