The charge nurse observes an inexperienced staff nurse caring for a patient who has had a crani-otomy for resection of a brain tumor. Which action by the inexperienced nurse requires the charge nurse to intervene?
a. The staff nurse assesses neurologic status every hour.
b. The staff nurse elevates the head of the bed to 30 degrees.
c. The staff nurse suctions the patient rou-tinely every 2 hours.
d. The staff nurse administers an analgesic before turning the patient.
ANS: C
Suctioning increases intracranial pressure, and should only be done when the patient's respiratory condition indicates it is needed. The other actions by the staff nurse are appropriate.
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