Postoperatively J.R. is admitted to the neurologic ICu
What assessment indicators will be closely monitored in J.R.?
What will be an ideal response?
• Complete neurologic assessment, including pupil size, equality, and response to light; and LOC,
response to commands, and reflexes
• ICP monitoring
• Presence of any cerebrospinal fluid (CSF) drainage
• Capnography (monitoring of exhaled carbon dioxide levels)
• Hemodynamic status, including arterial BP and cerebral perfusion pressure
• Intake and output (I&O) with hourly urine output monitoring
• Laboratory reports
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A staff nurse educates a nursing student about collaborative health care teams. The staff nurse recognizes that additional teaching is warranted when the nursing student lists which of the following as a characteristic of a collaborative health care team?
a. They are composed of a single health care discipline in order to maintain cost effectiveness. b. They are broadly classified as multidisciplinary, interdisciplinary, and transdisciplinary teams. c. Two or more skilled clinical practitioners will combine efforts in providing care. d. There is an expectation that care will be provided collaboratively.
A student nurse asks, "What's the primary purpose of the evaluation phase of the nursing process?" The best response is to
a. establish a time frame for completion of goals. b. determine whether the nurse completed all nursing interventions. c. determine which nurses are eligible for raises or promotion. d. compare actual patient outcomes with desired outcomes.
The risk of low birth rate on prematurity is greater
a. For younger teens b. For the first birth to a teen c. With excessive weight gain in the mother d. With low fat intake
A sudden blow to the head results in pain that is transmitted by which type of fibers?
A) A-delta B) B-gamma C) C fibers D) D-delta