The nurse is caring for a patient with a head injury involving cerebral edema and increased intracranial pressure (IICP). To prevent further transient increases from occurring, the nurse should implement what intervention?
A. Initiate and monitor an IV with normal saline.
B. Initiate oxygen administration.
C. Implement measures to help the patient avoid coughing and straining.
D. Position the patient in the supine position with the head of the bed at 30 degrees.
Answer: C
You might also like to view...
A nurse plans care for a client who is bedridden. Which assessment should the nurse complete to ensure to prevent pressure ulcer formation?
a. Nutritional intake and serum albumin levels b. Pressure ulcer diameter and depth c. Wound drainage, including color, odor, and consistency d. Dressing site and antibiotic ointment application
A physician has ordered 250 ml of 0.9% sodium chloride to be infused over 2 hours. A microdrip infusion set is being used. What is the drip rate that the nurse should monitor?
1) 60 drops per minute 2) 75 drops per minute 3) 125 drops per minute 4) 250 drops per minute
A major difference in methyldopa, a centrally acting antiadrenergic, and guanethidine, an adrenergic neuron-blocking agent, is that guanethidine:
1. crosses the blood-brain barrier, but methyldopa does not. 2. causes constipation, and methyldopa causes diarrhea. 3. can cause hemolytic anemia, but methyldopa does not. 4. does not cause CNS side effects.
During a procedure, the nurse is monitoring a patient who has received dexmedetomidine (Pecedex) for moderate sedation. The nurse will observe for which potential adverse effect?
A. Respiratory depression B. Tachycardia C. Dizziness D. Hypotension