A patient returns from surgery for removal of a pituitary tumor that has not extended into the intracranial vault. The nurse observes a large amount of clear drainage from the nose
The nurse expects the physician to order a glucose test of the drainage to confirm a. that infection has not occurred.
b. that a shift in osmolality has not occurred.
c. that the drainage is postoperative serous drainage.
d. that the drainage is CSF from a cerebrospinal leak.
D
To differentiate cerebrospinal fluid (CSF) drainage from postoperative serous drainage, a specimen is tested for glucose content. A CSF leak is confirmed by glucose values of 30 mg/dL or greater.
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A client is admitted to the psychiatric care unit. During the admission process, while the nurse is explaining the use of the call light the client smiles and says, "Apples, corn, dogs, my foot
" The nurse correctly documents the client is demonstrating which of the following speech patterns? 1. Neologisms 2. Clanging 3. Word salad 4. Echolalia
When comparing pressures obtained from the central venous pressure (CVP) versus pressures obtained from the pulmonary arterial pressure, the nurse knows that:
1. The CVP is expected to be a low pressure while the PAP is the highest pressure obtained in the pulmonary artery catheter. 2. The CVP is expected to be the highest pressure obtained in the pulmonary artery catheter while the PAP is expected to be a low pressure. 3. The CVP and the PAP pressures cannot be compared because these pressures are based on individual patients and their conditions. 4. The individual pressures obtained in the CVP and the PAP are not relevant. The pressure trends guide patient care.
An example of a bacterial infections to the skin includes
A. chickenpox and measles. B. urticaria and macules. C. impetigo and boils. D. scabies and pediculosis.
How can a family best assist a toddler who is attempting to feed himself?
a. Encourage the child to use a fork b. Feed the child themselves using a fork c. Encourage large portions for easier handling d. Offer the child finger foods