59 yo male client is brought to the emergency room where he is assessed to have a Glasgow coma scale of 3. Based on this assessment, how should the nurse characterize the clients’ condition? a. client has increase icp b. he has a good prognosis for recovery c. this client is conscious, but is not oriented to time and place d. he is in a coma and has a very poor prognosis - d. he is in a coma and has a very poor prognosis At a community health fair, 50 yo female tells the nurse that she has an annual physical exam that includes a breast exam and an annual mammogram. How should the nurse respond? a. encourage the woman to explore her fears about breast cancer b. ask the woman if she performs monthly breast self-exams c. recommend the women for adhering to the recommend cancer detection guidelines d. advise the woman that mammogram are only needed every two yrs of age - b. ask the woman if she performs monthly breast self exams Which assessment finding should indicate to the nurse that client with arterial hypertension is expericing a cardiac complication? a. complaints of occipaital headache b. palpable dorsal is pedis pulse bilaterally c. complaints of SOB on exertion d. bp of 160/90 - c. complaints of SOB on exertion a college student who is diagnosed with vaginal infection and vulva irritation describes the vaginal discharge as having cottage cheese appearance. Which prescription should the nurse implement first? a. cleanse perineum with warm soapy water 3 times per day b. instill the first dose of nystatin vaginally per applicator c. perform glucose measurement using capillary blood sample d. obtain a blood speciment for sexually transmitted disease - b. instill the first dose of nystatin vaginally per applicator a client in acute renal failure has serum potassium of 7.5. Based on this finding, the nurse should anticapate implementing which action? a. administer IV NS rapidly and NPH subq b. administer a retention enema of kayexalate c. add 40 KCL to present IV solution d. administer lidocaine bolus IV push - b. administer a retention enema of kayexalate