Which of the following independent nursing measures can assist in reducing increased ICP?
a. Decreasing the ventilator rate c. Frequent orientation checks
b. Decreasing noxious stimuli d. Administration of loop diuretics
B
A treatment modality that increases the incidence of noxious stimulation to the patient carries with it the potential for increasing intracranial pressure.
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The school nurse, planning an educational program on menstruation, should include which of the following in this program?
a. Menstrual cycles become regular in 1 to 2 months. b. The average age of menstruation in the United States is age 15. c. Breast development occurs after menarche. d. The first menstrual periods may or may not be accompanied by ovulation.
The nurse is conducting a health history for an older adult patient who states, "I seem to have more trouble driving at night the older that I get." When teaching the patient why this occurs, which will the nurse include in the teaching session?
1) Decreased contraction of ciliary body 2) Degeneration of cones 3) Degeneration of rods 4) Arcus senilis
Which intervention has been demonstrated to reduce the release of catecholamines and anxiety, and has resulted in better birth outcomes for women?
A) Massage therapy B) Continuous labor support C) Pharmacologic pain management D) Hypnosis
The nurse is caring for a child who was burned in a house fire. The nurse develops a plan of care for monitoring the child during the treatment for burn shock
The nurse identifies which of the following assessments as providing the most accurate guide to determine the adequacy of fluid resuscitation? 1. Heart rate 2. Lung sounds 3. Level of consciousness 4. Amount of edema at the site of the burn injury