The nurse is concerned that a client is experiencing an increase in intracranial pressure. Which anatomical structures most likely are affecting this pressure? Select all that apply
1. Brain tissue
2. Lymph drainage
3. Venous integrity
4. Cerebrospinal fluid
5. Cerebral blood volume
1, 4, 5
Rationale 1: Intracranial pressure is dictated by brain tissue, cerebral blood volume and cerebrospinal fluid.
Rationale 2: Intracranial pressure is not dictated by lymph drainage.
Rationale 3: Intracranial pressure is not dictated by venous integrity.
Rationale 4: Intracranial pressure is dictated by brain tissue, cerebral blood volume and cerebrospinal fluid.
Rationale 5: Intracranial pressure is dictated by brain tissue, cerebral blood volume and cerebrospinal fluid.
Global Rationale: Intracranial pressure is dictated by brain tissue, cerebral blood volume and cerebrospinal fluid. Intracranial pressure is not dictated by lymph drainage or venous integrity.
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What instructions should a nurse give to a patient when teaching deep breathing and coughing techniques? (Place the options in the appropriate sequence. Separate letters by a comma and space as follows: A, B, C, D.)
A. Place the hand on the abdomen to check the rise and fall. B. Inhale through the nose, pause 1 to 3 seconds, and then exhale through the mouth. C. Assume a semi-Fowler position. D. Take 4 to 6 deep breaths. E. Cough deeply.
At the request of the family, an instructor makes an assignment change for a black male student who had been assigned to take care of a postpartum Muslim woman. What is the most likely reason that the request was made by the family?
a. Muslim culture does not allow black prac-titioners to care for women. b. Muslim culture prefers that women health care providers care for Muslim women. c. The husband will be present, and he will object. d. After childbirth, all care must be per-formed by women.
The informatics nurse is reviewing a continuity plan to anticipate problems and minimize losses incurred by damage. Which should the nurse keep in mind as advantages associated with continuity planning? Select all that apply.
A) Strategies for correction of organization vulnerabilities B) Allowing time for restoration of equipment, facility, and services C) Means to capture information needed for regulatory and accrediting agencies D) Providing continuity of client records and delivery of care E) Complete protection against interruption in services
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Untreated hypothyroidism during pregnancy can adversely affect the child's mental development. Is this statement true or false? Indicate whether the statement is true or false