A nurse is preparing to administer acetaminophen (Tylenol) to prevent hyperthermia as a complication of increased intracranial pressure (IICP). 

 Which of the following contraindications to acetaminophen shows the nurse is knowledgeable?

A nurse working in the emergency department is conducting an assessment of a client who fell off their skateboard and suffered a simple concussion 3 hours ago. The healthcare provider (HCP) sees the client and decides to discharge them. 

Which assessment finding would cause the nurse to intervene and delay discharge? 

A client has expressive aphasia after left-brain damage following an ischemic stroke. Which nursing intervention promotes safety when caring for this client?

The nurse has provided health teaching for a client recently diagnosed with multiple sclerosis.

 Which of the following statements by the client indicates that FURTHER teaching is required?

The nurse is assessing a client with increased intracranial pressure (IICP) caused by hydrocephalus. The client's ICP monitor reads a pressure of 20 mmHg. 

 What is the nurse's next action?

The student nurse, along with their preceptor, is caring for a client with Alzheimer's disease.

A client diagnosed with epilepsy states, "I don't have epilepsy, I have seizures. There is a huge difference and I refuse to believe that this diagnosis is correct." 

 What information would the nurse use to educate the client on the difference between seizures and epilepsy?

The nurse is educating a group of students on the purpose of the Glasgow Coma Scale.  

 What is the Glasgow Coma Scale used for?

A nurse is caring for a client with Alzheimer's disease that is progressing. Upon assessment, the nurse notes that the client is having trouble brushing their teeth, combing their hair and using a pencil. Which of the following motor disorders does the nurse suspect the client is developing?