Following surgery for hypersecretion of growth hormone, a patient complains of a supraorbital headache
The nurse suspects a possible CSF leak and would take which actions? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply. 1. Test any nasal drainage for glucose.
2. Maintain bed rest.
3. Inform the patient that headaches are expected.
4. Keep the head of the bed (HOB) elevated 30 degrees.
5. Administer antibiotics as ordered.
1,2,4,5
Rationale 1: The presence of glucose in nasal drainage indicates leakage of CSF.
Rationale 2: Postoperative care of patients with a potential CSF leak should include bed rest.
Rationale 3: Headaches are not expected after surgery and are a sign of a CSF leak.
Rationale 4: Postoperative care of patients with a CSF leak should include continued elevation of the HOB.
Rationale 5: Postoperative care of patients with a CSF leak should include the administration of prophylactic antibiotics.
You might also like to view...
The nurse is preparing a woman who is in labor for a lumbar epidural and explains that she will receive a continuous infusion of epidural anesthesia. She asks what will happen if that isn't effective. What response by the nurse is correct?
a. "Increasing the amount of anesthesia will increase the risk of postdural headache." b. "You should tell the provider, and you may receive rescue doses of anesthesia if needed." c. "You will receive opioid analgesics if the epidural anesthesia is ineffective." d. "The consistent level provided by the continuous anesthesia will be sufficient."
The nurse plans to emphasize which of the following guidelines in her presentation:
a. Setting limits will make children feel secure b. Establish rules for safety by 2 years of age c. Constant criticism will help bring about the desired change in behavior d. Yelling will help get the child's attention
A mother asks the nurse to tell her what creeping is. She is expecting her baby to crawl any day and another mother says that her baby creeps. The nurse explains that creeping is when the baby:
a. moves on hands and knees with the abdomen off the floor b. crawls using the elbows to scoot across the floor c. draws the legs up, stretches out, and repeats the process d. stands and walks on the toes with heels off the ground
In regard to health and wellness, socioeconomicfactors play:
a. no role. b. a minute role. c. a minor role. d. a major role.