A nurse is assisting a neurosurgeon who is monitoring a client's intracranial pressure
(ICP) in the intensive care unit. What measure is most critical in monitoring the client's
intracranial pressure?
A) Monitor and document the client's vital and neurologic signs
B) Stop immediately if there is a break in the ICP monitoring system
C) Avoid moving the client's head up or down without physician orders
D) Observe the client's general appearance as well as mobility level
C
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A 66-year-old patient is admitted to the critical care unit with a diagnosis of acute inferior MI. A 12-lead electrocardiogram (ECG) is done to validate the area of infarction. Which finding on the ECG is most conclusive for infarction?
a. Inverted T waves c. ST segment depression b. Tall, peaked T waves d. Pathologic Q waves
The nursing educator is reviewing the signs and symptoms of heat stroke with a group of nurses who provide care in a desert region. The educator should describe what sign or symptom?
A) Hypertension with a wide pulse pressure B) Anhidrosis C) Copious diuresis D) Cheyne-Stokes respirations
The nurse is planning to assess the neurologic function of a 6-hour old newborn. The most desirable behavioral state to test infant responses is which of the following?
A. Drowsy B. Light sleep C. Quiet alert D. Active alert
At what period of time does aging begin?
a. Conception b. Birth c. 40 years d. 65 years