The Nurse Is Caring for a Client with a Diagnosed

question 9

Multiple Choice

The nurse is caring for a client with a diagnosed closed head injury that requires intracranial pressure monitoring.Which signs/symptoms indicate that the client's intracranial pressure is rising? Select all that apply.

• A)The nurse notes "Doll's eyes" when assessing the client's pupils.
• B)The nurse documents eupnea in respect to respiratory effort.
• C)The nurse finds that all extremities are flaccid.
• D)The nurse notes that blood pressure is stable.
• E)The nurse documents that the client is in a comatose state.

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Definitions:

Machine-Hours

A measure of production output or activity, where one machine-hour equals one hour of operation of a machine.

Assembly Department

An area in a manufacturing plant where parts are put together to form the end products.

Overhead Rate

A calculated rate used to allocate overhead costs to products or services, usually determined by dividing total overhead costs by an allocation base.

Predetermined Overhead Rate

A rate used to apply manufacturing overhead to products or job orders, calculated based on the estimated costs and activity levels before the period begins.