After the craniotomy, F.N. is admitted to the intensive care unit (ICU) postoperatively. Her head dressing is
dry and intact with a patent Hemovac.
She has two peripheral intravenous (IV) lines, sequential compres
sion devices (SCDs), oxygen at 4 L by nasal cannula, and a Foley catheter. She is neurologically intact with
a Glasgow Coma Scale (GCS) score of 15.
What is the most serious complication that can occur after a craniotomy?
The most serious complication after a craniotomy is an increase in ICP, which can lead to brain
herniation, seizures, stroke, and infarct.
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Which of these steps in taking a blood pressure is correct? Choose all that apply
1) Use a bladder that encircles 40% of the arm. 2) Wrap the cuff snugly around the client's arm. 3) Ask the client to hold the arm at heart level. 4) Have the client sit with feet flat on the floor.
The nurse in the assisted living facility notices that a resident seems to be restless most nights and sits in the lounge area reading. When questioned, the client reports suffering from insomnia
The resident tells the nurse this is "not a big deal.". Which of the following does the nurse expect as an outcome if the client continues with this pattern of sleep? 1. The nurse is concerned about the liability created by a resident who is unsupervised in the lounge areas. 2. The nurse recognizes that insomnia is linked to cardiac dysfunction if it is not managed. 3. The nurse is aware that the client's ability to adequately function during the day may be hindered by these episodes. 4. The nurse is concerned that the client is demonstrating significant underlying problems.
Which condition is associated with a cyanocobalamin (B12) deficiency?
A. Pellagra B. Pernicious anemia C. Rickets D. Scurvy
When an elderly patient is brought into the Emergency Department by family members who reported a fall the nurse became suspicious that the patient had suffered physical abuse
The patient denied that she had been abused. Her denial is most likely based on her: a. Feeling that she deserved the physical abuse b. Strong belief that nothing could be done to help her c. Lack of trust that the situation could ever be changed d. Fear of the possibility of being removed from her family