When caring for a patient who has had a stroke a priority is reduction of intracranial pressure (ICP). What position is indicated to assist with this goal?
A) Head turned to the right side
B) Elevation of the head of the bed
C) Head turned to the left side
D) Extension of the neck
Ans: B
Feedback: Elevation of the head of the bed promotes venous drainage and lowers ICP; the nurse should avoid flexing or extending the neck or turning the head side to side. The head should be in a neutral midline position.
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A client diagnosed with panic disorder states, "When an attack happens, I feel like I am going to die." Which is the most appropriate nursing response?
1. "I know it's frightening, but try to remind yourself that this will only last a short time." 2. "Death from a panic attack happens so infrequently that there is no need to worry." 3. "Most people who experience panic attacks have feelings of impending doom." 4. "Tell me why you think you are going to die every time you have a panic attack."
A patient with Parkinson disease has challenged himself to maintain mobility for longer than the physician predicts. He strives every day to walk 5 to 10 steps further than the day before
This phenomenon, being researched by social psychologists, is known as A) stubbornness. B) assertiveness. C) hardiness. D) positivism.
The nurse is assessing a client's sensation and perception. The part of the brain that maintains equilibrium and smooth muscle functioning is the:
a. cerebrum. c. brain stem. b. cerebellum. d. pons.
A woman who is 6 weeks pregnant tells the nurse that she is worried that, even though she is taking folic acid supplements, the baby might have spina bifida because of a family history. The nurse's response should be based on what?
a. Prenatal detection is not possible yet. b. There is no genetic basis for the defect. c. Chromosome studies done on amniotic fluid can diagnose the defect prenatally. d. Open neural tube defects (NTDs) result in elevated concentrations of ?-fetoprotein in amniotic fluid.