When planning care for a patient with increased intracranial pressure the nurse realizes that the cerebral perfusion pressure must be maintained at
1. < 50 mm Hg.
2. > 70 mm Hg.
3. < 70 mm Hg.
4. > 30 mm Hg.
2
Rationale: In order to ensure adequate cerebral oxygenation, the cerebral perfusion pressure must be maintained at greater than 70 mm Hg. The other answer choices would fail to meet this criterion.
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If an elderly client must be physically restrained, who is responsible for the safety of the client
during the duration of restraint use? The a. physician who ordered the application of restraint. b. nurse assigned to care for the client. c. nursing assistant who applies the restraint. d. family member who agrees to the application of the restraint.
A victim of a near drowning has been admitted to the emergency department. The patient was submerged for 10 minutes and remains unconscious. What possible damage to the body has occurred as a result of the submersion?
A) Atrophy to brain cells B) Cellular repair C) Hypoxia to the brain D) Necrosis to the brain
A patient who has undergone surgical removal of a solid tumor has just begun chemotherapy. The patient experiences severe nausea and vomiting as well as alopecia. The nurse will expect the provider to:
a. continue the chemotherapeutic agent at the same dose. b. decrease the dose of chemotherapy to mi-nimize side effects. c. order lab tests to evaluate for the presence of residual cancer cells. d. stop the chemotherapy because the tumor has been removed.
In the United States, the majority of health care dollars are spent on
a. Prescription drugs b. Hospital care c. Physician services d. Public health services