A nurse is reviewing a CT scan of the brain, which states that the client has arterial bleeding with blood accumulation above the dura
Which of the following facts of the disease progression is essential to guide the nursing management of client care? A) Symptoms will evolve over a period of 1 week.
B) Monitoring is needed as rapid neurologic deterioration may occur.
C) The crash cart with defibrillator is kept nearby.
D) Bleeding continues into the intracerebral area.
B
Feedback:
The nurse identifies that the CT scan suggests an epidural hematoma. A key component in planning care is the understanding that rapid neurologic deterioration occurs. Symptoms evolve quickly. A crash cart may be kept nearby, but this is not the key information. An intracerebral hematoma is bleeding within the brain, which is a different area of bleeding.
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A pleural fluid-to-blood hematocrit ratio greater than 50% is diagnostic of which pulmonary disorder?
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The nurse is providing care for a 9-year-old girl who is medically fragile. Which of the following is an example of the nursing role of collaboration?
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The laboratory test result that would be most helpful to the nurse in the assessment of a client with a bleeding disorder is
a. differential count. b. hematocrit. c. platelet count. d. RBC count.