A nurse is working with a patient with acute head trauma. The nurse understands that the cerebral blood flow in this patient is decreased to compensate for the cerebral edema caused by the trauma
What other compensatory mechanisms should the nurse be aware of that are likely occurring in this patient to maintain a constant intracranial pressure? Select all that apply.
A) Expansion of cisterns and ventricles
B) Increased cerebrospinal fluid (CSF) production
C) Increased CSF absorption
D) Shunting of CSF into the spinal subarachnoid space
A, D
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The nurse is contributing to the plan of care for a patient who has Paget's disease. Which of the following would be an appropriate outcome?
a. Identify coping skills. b. Gain 5 lb weekly. c. Pain is relieved at a satisfactory level. d. Intake equals output.
A college freshman has bulimia. She vomits after eating and has recently noticed tingling of her fingers and toes and muscle cramps. Her roommate is a nursing student and is concerned about which imbalance?
a. Respiratory acidosis b. Metabolic acidosis c. Respiratory alkalosis d. Metabolic alkalosis
An older client with a history of peptic ulcer disease is diagnosed with a vitamin B12 deficiency. What must the nurse teach the client?
1. Pay close attention when using hot water, handling hot surfaces, and while cooking. 2. Be alert to cognitive changes, memory impairment, and depression symptoms. 3. Blood work will need to be done in the doctor's office frequently to check for anemia. 4. Medications used to treat peptic ulcer disease can block the absorption of vitamins.
Which teaching intervention should the nurse use for the client with polycythemia vera to prevent injury as a result of the increased bleeding tendency?
A. "Use a soft-bristled toothbrush." B. "Drink at least 3 liters of liquids per day." C. "Wear gloves and socks outdoors in cool weather." D. "Exercise slowly and only on the advice of your physician."