A patient has undergone repair of a subarachnoid hemorrhage. The nurse should monitor this patient for development of which complications? Note: Credit will be given only if all correct choices and no incorrect choices are selected
Select all that apply. 1. Hypernatremia
2. Hydrocephalus
3. Rebleeding
4. Vasospasm
5. Hemodilution
2,3,4
Rationale 1: Hyponatremia is a more common complication.
Rationale 2: Hydrocephalus is a major complication that a nurse must anticipate following a ruptured intracranial aneurysm.
Rationale 3: Rebleeding is a major complication that a nurse must anticipate following a ruptured intracranial aneurysm.
Rationale 4: Vasospasm is a major complication that a nurse must anticipate following a ruptured intracranial aneurysm.
Rationale 5: Hemodilution is part of the treatment of cerebral vasospasm.
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A nurse is teaching a patient who is about to undergo direct-current (DC) cardioversion to treat atrial flutter. The patient has been taking verapamil and warfarin for 6 months
Which statement by the patient indicates understanding of the teaching? a. "I may need long-term therapy with another cardiac medication after the pro-cedure." b. "I should stop taking warfarin a few days before the procedure." c. "I will need to take a beta blocker after the procedure to prevent recurrence of atrial flutter." d. "I will not have to take antidysrhythmia medications after the procedure."
When providing education to a mother regarding pain management for a toddler with otitis media, which statement by the mother indicates further teaching needs for this parent?
A) "Use of infant Tylenol is good for my toddler." B) "I should give my toddler one baby aspirin." C) "I don't have to give my child pain medication unless he needs it." D) "Ibuprofen can be purchased over the counter to use if my toddler needs it."
An older adult with gastroenteritis is disoriented and weak and has the following laboratory test results: Hct 56% (normal 40% to 51%) BUN 32 mg/dL (normal 6 mg/dL to 20 mg/dL) Which nursing diagnosis should the nurse select for this patient?
a. Risk for injury b. Excess fluid volume c. Deficient fluid volume d. Impaired skin integrity
The nurse is reinforcing teaching provided to a patient with a peptic ulcer. Which patient statement indicates understanding of the medication ranitidine (Zantac)?
a. "It clings to the ulcer." b. "It coats your stomach." c. "It neutralizes stomach acid." d. "It reduces production of gastric acid."