The Nurse Is Assessing a Patient Who Has Been Admitted

question 9

Multiple Choice

The nurse is assessing a patient who has been admitted to the intensive care unit (ICU) with a hypertensive emergency.Which finding is most important to report to the health care provider?

• A) Urine output over 8 hours is 250 mL less than the fluid intake.
• B) The patient cannot move the left arm and leg when asked to do so.
• C) Tremors are noted in the fingers when the patient extends the arms.
• D) The patient complains of a headache with pain at level 8/10 (0 to 10 scale).

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Definitions:

Protective Services

Agencies or organizations dedicated to defending and safeguarding individuals, particularly children, the elderly, or those at risk, from abuse or neglect.

Abusive Parent

An abusive parent is an individual who physically, emotionally, or mentally mistreats their child, leading to harm or potential harm.

Mandatory Arrest

A law enforcement policy requiring officers to make an arrest when there is evidence of certain crimes, often in domestic violence cases.

Battering MEN

The act of physical violence and abuse, primarily focused on men either as perpetrators or victims.