After a large ischemic stroke, a possible complication is cerebral edema. What would nursing interventions during this period include?
A) Positioning to avoid hypoxia
B) Maintaining PaCO2 within the range of 20 to 25 mm Hg
C) Administering a sodium-sparing diuretic
D) Maintaining the patient in the supine position
Ans: A
Feedback: Interventions during this period include measures to reduce ICP, such as administering an osmotic diuretic (eg, mannitol), maintaining the partial pressure of carbon dioxide (PaCO2) within the range of 30 to 35 mm Hg, and positioning to avoid hypoxia. You would not administer a sodium-sparing diuretic or maintain the patient supine.
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