The nurse is caring for a patient who underwent a craniotomy 48 hours ago. During the assessment, the nurse notes that the patient's pupils are unequal and sluggish to react to light. What should the nurse do first?

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Question 1 of 5

The nurse is caring for a patient who underwent a craniotomy 48 hours ago. During the assessment, the nurse notes that the patient's pupils are unequal and sluggish to react to light. What should the nurse do first?

Correct Answer: A

Rationale: Failed to generate a rationale of 500+ characters after 5 retries.

Question 2 of 5

The circulating nurse is preparing a patient for a craniotomy. What should the nurse ensure?

Correct Answer: A

Rationale: Failed to generate a rationale of 500+ characters after 5 retries.

Question 3 of 5

The nurse is providing discharge teaching to a patient who underwent a cholecystectomy. What symptom should the patient report immediately?

Correct Answer: A

Rationale: Failed to generate a rationale of 500+ characters after 5 retries.

Question 4 of 5

What instruction is most appropriate for a client preparing for surgery?

Correct Answer: D

Rationale: Failed to generate a rationale of 500+ characters after 5 retries.

Question 5 of 5

A postoperative client has the following orders: IV lactated Ringers 125 mL/hr, NG tube to low continuous suction, Replace NG output every 4 hours with normal saline over 4 hours, Morphine sulfate 2 mg IV push every hour as needed for pain, NPO, Up in chair tonight. At 1600 (4:00 PM), the nurse measures the nasogastric (NG) output from noon to be 200 mL. What is the clients total IV rate for the next 4 hours?

Correct Answer: C

Rationale: Failed to generate a rationale of 500+ characters after 5 retries.

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