A neurological patient is admitted for an acute subarachnoid hemorrhage. The patient's ICP is being monitored closely since the level of ICP can
A) improve outcomes by reducing ICP through CSF drainage.
B) assist in determining prognosis.
C) provide feedback and limit indiscriminate use of therapies.
D) All of the above are correct.
D
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The home health nurse visits a family for the first time. She meets a 40-year old woman and her 75-year old father, a 12-year old girl, and a 16-year old boy. She does not understand the language they speak in the home
The grandfather has limited mobility due to a stroke and appears confused. The nurse who learns to "think family" uses which of the following assessment practices? 1. Includes family members in client assessment. 2. Recognizes her own attitudes toward the family cultural practices. 3. Strives to understand the relationships of all family members and how each is affected by the client's illness. 4. Focuses her assessment on the grandfather because he is the only one who has an obvious illness.
is admitted to the emergency department after sustaining injury in a fall. Which assessment findings would the nurse immediately communicate to the emergency department physician?
1. The patient is taking a sulfa drug for urinary tract infection. 2. The patient has a bluish discoloration behind his ear. 3. The patient's nose is running. 4. The patient's smile is crooked. 5. The patient's tongue is lacerated.
A client with a history of myocardial infarctions tells the nurse that he has been smoking for 35 years and it does not matter now if he stops. The best response by the nurse would be:
1. "It will reduce your risk of lung cancer.". 2. "Your risk of continued coronary heart disease will decrease by half when you stop.". 3. "It will decrease any complications you might develop.". 4. "It will enhance the effects of your medications.".
A 70-year-old client is discussing his recent difficulty in initiating his flow of urine while on a cross-country bus tour with a senior citizens' group. Which of the following assessment questions is directed toward the most likely cause of the problem?
1. "Did the bus stop frequently so you could get up and walk around?" 2. "Did you drink plenty of water while you were on the trip?" 3. "Do you find using public restrooms unsettling?" 4. "Do you have any chronic urinary problems?"