A child with increased intracranial pressure is being treated with hyperventilation. The nurse understands that which of the following is the rationale for this treatment?
A) PaCO2 levels decrease, causing vasoconstriction.
B) Drainage of cerebrospinal fluid occurs.
C) Activity is controlled via a stimulator.
D) Hyperexcitability of the nerves is reduced.
A
Response:
Hyperventilation decreases PaCO2, which results in vasoconstriction and therefore decreases intracranial pressure. A shunt would allow for drainage of cerebrospinal fluid. A vagal nerve stimulator is used to provide an appropriate dose of stimulation to manage seizure activity. Anticonvulsants decrease the hyperexcitability of nerves.
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A 512-bed acute-care community hospital is planning to install a wireless system. The steering committee is planning a site visit to observe the wireless system in action. Which site would be the most suitable for the committee to visit?
1. A 36-bed state-of-the-art open-heart intensive care unit at a hospital that uses the same vendor's equipment and services 2. A 496-bed acute-care hospital utilizing another vendor with similar equipment and services 3. A 485-bed acute-care community hospital utilizing the same vendor's equipment and services 4. A 712-bed acute-tertiary care hospital utilizing the same vendor's equipment and services
The client's family remains at the bedside 24 hours a day while the client is in the intensive care unit and contributes to disruptions in the client's sleep. Which does the nurse implement to assist the client with a disrupted sleep pattern?
1. Suggest a hypnotic drug when sleep is interrupted by pain. 2. Discourage the family from visiting during sleeping hours. 3. Avoid turning and positioning the client if sleeping soundly. 4. Plan care with health care team to minimize sleep disruption.
A primary objective for the home health nurse is
1. Education 2. Health promotion 3. Facilitation of self-care 4. Disease prevention
A 24-year-old female in good health has begun an exercise program. The client correctly recognizes that to promote cardiac health, the following regimen is needed:
A) mild intensity aerobic exercise lasting 45 minutes at least 3 days per week B) moderate intensity aerobic exercise lasting 30 minutes 5 times per week C) Moderate intensity aerobic exercise lasting 1 hour 4 times per week D) High-intensity aerobic exercise lasting 30 minutes at least 5 times per week