A patient with a penetrating traumatic head injury has a Glasgow Coma Scale of 9. The nurse realizes that what will most likely be implemented for this patient?
1. Prophylactic hypothermia treatment
2. High-dose barbiturate therapy
3. Intubation
4. Prophylactic anticonvulsant therapy
4
Rationale 1: Prophylactic hypothermia treatment is not recommended for routine use at this time.
Rationale 2: High-dose barbiturate therapy might be considered when the elevated ICP is refractory to other treatments or when the patient has uncontrolled seizures.
Rationale 3: Most patients with a traumatic brain injury will be intubated.
Rationale 4: Risk factors for an early seizure after a traumatic brain injury include a Glasgow Coma Scale score of less than 10; cortical contusion; depressed skull fracture; subdural, epidural, or intracerebral hematomas; penetrating head wounds; and a seizure within the first 24 hours post injury.
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The Joint Commission and the Institute for _________ _______ Practice have identified abbreviations
that should not be used. Fill in the blank(s) with correct word
A resident says, "I usually take this pill after lunch. I've not eaten yet." What should you do?
a. Let the person take the drug when she is ready. b. Check with the nurse. c. Remind the person that it is time to take the drug. d. Check the dosage.
The type of information that is described or verified by the individual is called:
a. personal information. b. nursing information. c. subjective information. d. objective information.
Your agency uses electronic blood pressure equipment. Why do you still need to feel pulses?
a. The equipment may not be accurate. b. The rate is given but not the rhythm or force. c. To measure the pulse deficit. d. To measure systole and diastole.