A nurse is assisting with caring for a client who has a new concussion following a motorvehicle crash. The nurse should monitor the client for which of the following manifestations

of increased intracranial pressure? - CORRECT ANSWER✔✔*Lethargy

Rationale: An early manifestation of increased intracranial pressure is lethargy. The nurse

should monitor and report any changes in the client's level of consciousness, such as

restlessness or disorientation, because these are early manifestations of increased

intracranial pressure.

A nurse is reinforcing teaching about a tonometry examination with a client who has

manifestations of glaucoma. Which of the following statements should the nurse include in

the teaching? - CORRECT ANSWER✔✔* "This test will measure the intraocular pressure of

the eye."

Rationale: A tonometry examination provides a precise and simple way to measure

intraocular pressure. This is a component of a comprehensive eye examination and is

crucial for clients who have glaucoma or who are at high risk for developing intraocular

hypertension.

A nurse is reviewing the laboratory results of a client who is taking cyclosporine following a

kidney transplant. Which of the following laboratory findings should the nurse identify as the

most important to report to the provider? - CORRECT ANSWER✔✔*Increase in serum

creatinine

Rationale: The nurse should identify the elevated serum creatinine level as the priority

finding to report. Cyclosporine is nephrotoxic, so an increase in the creatinine and BUN

levels can indicate the medication dosage is too high and must be decreased to recover

renal function.