Pneumonia is the most frequent cause of death after a stroke. Which intervention would be contraindicated in the acute care of a patient with a hemorrhagic CVA?
a. Thicken liquids to ease swallowing and prevent aspiration.
b. Change position every 30 to 60 minutes.
c. Maintain adequate fluid intake, orally or IV.
d. Encourage forceful coughing to stimulate deep breathing.
D
Forceful coughing is contraindicated for the patient with a hemorrhagic CVA because it may cause increased intracranial pressure.
You might also like to view...
Jerry, a patient with a T3-4 spinal cord injury (SCI), is in the ICU. Shortly after his bath, the nurse notes that he is hypertensive, flushed, and complains of a severe headache. The nurse should
A) do nothing, this response will pass. B) lower the head of the bed and notify the physician. C) raise the head of the bed, check the bladder drainage system, and check for a bowel impaction. D) increase the IV fluid rate and clamp the urinary catheter.
The nurse is preparing to provide preoperative teaching to a patient who is deaf. To ensure proper learning, the nurse may:
a. use printed materials. b. provide unamplified recorded materials. c. use a family member to interpret. d. place an interpreter behind the patient.
The patient is being discharged home from day surgery after a general anesthetic. What instruction should the patient be given prior to leaving the hospital?
A) The patient is not to drive a vehicle. B) The patient should have a glass of brandy the first night at home to help him or her sleep. C) Eat a large meal at home. D) Do not sign important papers for the first 12 hours after surgery.
What trend in healthcare has only existed for the past decade and has changed nursing education to prepare student nurses for practice after graduation?
1. Technology 2. Cultural diversity 3. HIV 4. Nursing shortage