When caring for a patient with a traumatic brain injury, one of the goals the nurse might have with this patient is what?
A) Maintenance of secondary injury
B) Improved complications
C) Prevention of sleep deprivation
D) Increased knowledge about the injury
Ans: C
Feedback: The goals for the patient may include maintenance of a patent airway, adequate CPP, fluid and electrolyte balance, adequate nutritional status, prevention of secondary injury, maintenance of normal body temperature, maintenance of skin integrity, improvement of cognitive function, prevention of sleep deprivation, effective family coping, increased knowledge about the rehabilitation process, and absence of complications. Therefore options A, B, and D are incorrect.
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A nursing instructor is teaching about specific phobias. Which student statement indicates to the instructor that learning has occurred?
1. "These clients recognize their fear as excessive and frequently seek treatment." 2. "These clients have a panic level of fear that is overwhelming and unreasonable." 3. "These clients experience symptoms that mirror a cerebrovascular accident (CVA)." 4. "These clients experience the symptoms of tachycardia, dysphagia, and diaphoresis."
The nurse knows that the occurrence of shoulder dystocia during labor is most likely related to
a. macrosomia c. polyhydramnios b. preterm birth d. maternal age
Which birth injuries should the nurse assess for if an infant was born with the use of a vacuum extractor? (Select all that apply.)
a. Torticollis b. Brachial palsy c. Fractured clavicle d. Cephalhematoma e. Subgaleal hemorrhage
The categories of work-related hazards are biological, chemical, enviromechanical, physical, and psychosocial hazards. Biological and infectious hazards:
1. Are factors that are encountered in the work environment that cause accidents 2. Are agents within the work environment such as radiation, electricity, and noise 3. Include factors associated with one's job that potentiate stress 4. Include bacteria, viruses, fungi, and parasites