A patient, recovering from a frontal craniotomy, is prescribed to keep the head of the bed elevated 45 degrees at all times. The nurse realizes that this intervention is based on which of the following physiological principles?
1. this position allows for less pain for the patient
2. the cerebral spinal veins are valveless and drain by gravity
3. the ventricles of the brain will drain better in this position
4. the brain will compress the cerebral veins less in this position
2
Rationale: The cerebral spinal veins drain best via gravity, an important characteristic to remember when caring for patients with the risk for increased intracranial pressure as would be present in intracranial surgeries. The other answer choices do not represent physiological principles of circulation in the brain.
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The nurse is caring for an older adult who recently lost an adult child as a result of automobile accident
They shared a home and enjoyed a healthy parent-child relationship. The nurse is con-fident that the patient has progressed appropriately through the mourning process when the pa-tient is observed doing which action? a. Tells family members that her child is "in a better place." b. Arranges for personal grief counseling. c. Cries softly during the family's first year memorial service. d. Plans a summer vacation with friends from work.
The nurse has an adequate understanding of the informatics nurse (IN) and informatics nurse specialist (INS) when making which of the following statements?
a. "The IN/INS does not require any com-puter or network knowledge on entry into the profession.". b. "The IN/INS does not interact directly with clinical staff.". c. ""The IN/INS does not need prior know-ledge of software or hardware implemen-tation.". d. "The IN/INS should be prepared to help with system implementation.".
Which is a priority concern for a 14-year-old child with inflammatory bowel disease?
a. Compliance with antidiarrheal medication therapy b. Long-term complications c. Dealing with the embarrassment and stress of diarrhea d. Home schooling
Nurses are empowered in their organizations when they are held accountable. This allows each accountable nurse to have:
A. Similar decision-making ability as the physicians B. More power in the practice arena C. Excuses for not being able to complete patient assignments on time D. The ability to automatically negate other health-care team members' recommenda-tions