A patient has a systemic blood pressure of 120/60 and an ICP of 24 mm Hg. After calculating the patient's cerebral perfusion pressure (CPP), how does the nurse interpret the results?
A. High blood flow to the brain
B. Normal intracranial pressure
C. Impaired blood flow to the brain
D. Adequate autoregulation of blood flow
Answer: C. Impaired blood flow to the brain
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A patient with obsessive-compulsive disorder spends 2 hours each morning checking and rechecking her home before leaving for work then comes home on the lunch hour and spends more than an hour rechecking faucets, stove burners, appliances, window and
door locks, and so forth. The checking continues after work and during the evening. The patient spends so much time in ritualistic behavior that grooming is poor and social activities are nonexistent. Which indicators for measuring progress would be appropriate for this patient? Select all that apply. a. Denies the presence of anxiety or distress b. Participates in a social activity 30 minutes per day c. Checks no more than once when leaving home d. Calls to a neighbor to check the home in her absence e. Achieves adequate grooming and hygiene daily f. Meditates or completes deep breathing each week
Which of the following nursing actions is recommended when helping a blind client who is depressed?
A) Cheer up the client. B) Acknowledge the client's grief. C) Agree with the client that it is impossible to deal with the adversity. D) Ignore the client's grief and adopt a strict attitude.
The nurse is teaching a patient about home administration of insulin to treat diabetes mellitus. As part of the teaching, the patient and nurse identify goals to maintain specific blood glucose ranges
This represents which aspect of the nursing process? a. Assessment b. Evaluation c. Implementation d. Planning
A patient diagnosed with panic disorder is placed on a tricyclic antidepressant. The nurse should counsel the patient to expect full benefit from the drug in:
a. 5-6 days. b. 2-3 weeks. c. 1-2 months. d. 6 months.