A patient with head trauma requires intracranial pressure (ICP) monitoring. The physician insists that the most accurate monitoring device feasible should be used for this patient
This patient also requires frequent draining of cerebrospinal fluid (CSF) while being monitored. The nurse recognizes that which ICP monitoring device would be best for this patient?
A) Intraventricular
B) Subarachnoid
C) Subdural
D) Epidural
D
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A pregnant woman's membranes ruptured prematurely at 34 weeks. She will be discharged to her home for the next few weeks
What would the nurse planning discharge instruction teach the woman to do? a. Report any increase in fetal activity. b. Notify her obstetrician if she has a temperature above 37.8 ° C (100 ° F). c. Massage her breasts to promote uterine relaxation. d. Rest in a side-lying Trendelenburg position with hips elevated.
How would a nurse ensure that the medication order is accurate?
a. By checking the medication record with the Kardex file b. By comparing the physician's order with the medication history c. By comparing the physician's order to the chief complaint d. By checking the medication record with the original physician's order
When preparing a client for a hysterosalpingogram, which of the following nursing interventions is required?
A) The client should be postmenopausal by at least 1 week. B) A full bladder is required in the client before the test. C) The client should be premenopausal by at least 1 week. D) Bowel preparation is necessary for the client.
An immigrant child is in the clinic for MMR vaccination
The nurse learns that the child has recently received an immune globulin injection for a viral infection, currently has an upper respiratory infection with a temperature of 100° F, and has a recent history of thrombocytopenia, which has resolved. What does the nurse tell the child's parents? a. "The vaccine is contraindicated in this child because of the history of thrombocytopenia." b. "The child should be brought back for the vaccine when the temperature is back to normal." c. "The child is at increased risk of developing autism from this vaccine." d. "The vaccine must be postponed for 3 months after administration of the immune globulin."