A nurse is providing care to a patient with increased intracranial pressure following a closed head injury. The nurse would determine that adequate cerebral perfusion pressure exists if the CPP is at least ____
Fill in the blank(s) with correct word
50
Rationale : A CPP of at least 50 is required for adequate cerebral perfusion. The preferred CPP is 60.
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A patient who has had a right below the knee amputation continues to complain of unpleasant sensation in the right foot. What can the nurse explain about this "phantom pain"?
a. It only exists in the mind. b. It is a complication following an amputation and can be clarified by the surgeon. c. It is related to the severed nerves that are still sending messages to the brain. d. It occurs when the person becomes focused on the loss of the limb.
When a client diagnosed with primary hypertension asks the nurse what causes this disease, the nurse's best response would be "High blood pressure is caused by
a. a decrease in plasma renin levels." b. a number of factors, not just one cause." c. arteriosclerotic vessel disease." d. a kidney problem."
A client with pericarditis is admitted to the cardiac unit. What assessment finding does the nurse expect in this client?
a. Heart rate that speeds up and slows down b. Friction rub at the left lower sternal border c. Presence of a regularly gallop rhythm d. Coarse crackles in bilateral lung bases
Which of the following teaching points is the priority when the nurse is teaching the client about caring for a plaster cast?
1. The cast gives off heat as it dries. 2. The client can bear weight on the cast in 1 hour. 3. A stockinette and soft padding are put over the leg area before casting. 4. Immediately report any increase in drainage or interruption in cast integrity.