A patient who is on an intracranial pressure monitor after an acute head injury has an intracranial pressure of 10 mm Hg at rest
When the patient is being suctioned, the intracranial pressure rises briefly to 20 mm Hg but returns quickly to 10 mm Hg once the suctioning has ceased. What is the most appropriate nursing intervention?
A) Administer intravenous sedation
B) Suction no longer than 15 seconds each time
C) Drain 10 mL cerebrospinal fluid
D) Return to supine position
B
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Because of an immune disorder, the patient is to undergo evaluation of bone marrow function. For what test does the nurse prepare the patient?
A) Computed tomography (CT) B) Intradermal skin testing C) Bone marrow aspiration D) Magnetic resonance imaging (MRI)
A ventilator-dependent student joins the school and does not need a personal care attendant. Before providing care to the student, the nurse should:
1. Research tracheostomy-suctioning procedures. 2. Teach the teacher how to provide appropriate tracheostomy care. 3. Review the student's Individualized Health Care Plan (IHP) for other aspects of care that the student may need in addition to tracheostomy care. 4. Ask to have a joint conference with the parents, teachers, and school administrators about caring for this student.
When a client is hospitalized with dilated cardiomyopathy, the nurse would examine the client's record for the characteristic history of
a. long-term alcohol abuse. b. previous streptococcal infection. c. resistant hypertension. d. uncontrolled diabetes.
In providing nourishment for a child with cystic fibrosis (CF), what factors should the nurse keep in mind?
a. Fats and proteins must be greatly curtailed. b. Most fruits and vegetables are not well tolerated. c. Diet should be high in calories, proteins, and unrestricted fats. d. Diet should be low fat but high in calories and proteins.