A 45-year-old patient has had a repair of a cerebral aneurysm and is presenting signs of increased intracranial pressure (ICP). Which postoperative nursing interventions would be contraindicated?
a. Coughing every 2 hours
b. Leg exercises every 2 hours
c. Monitoring intravenous therapy at 50 ml/hr
d. Assessing vital signs every 2 hours
A
Coughing increases ICP.
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The nurse is performing a physical assessment on an elderly client. The nurse evaluates the muscular skeletal system, understanding that the following might be typical in the geriatric client: Standard Text: Select all that apply
1. Elderly clients have decreased ROM. 2. Elderly clients have decreased subcutaneous fat that can affect their ability to stay warm. 3. Vigorous assessment techniques such as hopping on one foot are appropriate. 4. Evaluation of the ability to carry out ADLs can indicate a deviation from normal in the musculoskeletal system assessment. 5. Warmth in one or more joints.
What change could most effectively lead to a longer life span in Americans?
a. Parenting and sexual behavior classes in all public school systems b. Legislation restricting alcohol and drug use c. Notably reducing speed limits on all state and federal highways, and changing the age limit for driving to 21 years of age d. The belief that smoking is shameful and disgusting, as well as expensive, becoming the social norm
A mother is caring for her child with diarrhea at home. She calls the nurse at the clinic and asks for diet instructions. The nurse would advise:
a. BRAT diet b. Ginger ale c. Broth d. Oral rehydration therapy with Pedialyte or similar product
A common opportunistic infection for a child with immune suppression related to HIV is:
1. Tuberculosis. 2. Syphilis. 3. Meningitis. 4. E. Coli.