A nurse is monitoring a patient recently admitted to the critical care unit with an acute brain injury. She is aware that intracranial hypertension is a major risk associated with brain injury
Which of the following findings would definitively indicate that the patient has intracranial hypertension?
A) Cerebral perfusion pressure (CPP) of 75 mm Hg
B) Intracranial pressure (ICP) of 25 mm Hg
C) Mean arterial pressure (MAP) of 150 mm Hg
D) Systolic pressure of 110 mm Hg
D
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The Code of Ethics for Nursing provides a framework for the nurse in ethical decision making and
a. is usurped by state or federal laws. b. allows the nurse to focus on the good of society rather than the uniqueness of the client. c. was recently adopted by the American Nurses Association. d. provides society with a set of expectations of the profession.
If a nursing team is successful, it is receiving support from:
1. physicians. 2. other units in the facility. 3. the owners. 4. administration.
An important concept to teach preschoolers in an effort to prevent attacks of sexual abuse would be to first teach them
A) never to use a restroom at a public beach. B) that their life is their own and they have a right not to have others interfere with it. C) that their body belongs to them and they have the right to decide who can touch it or look at it. D) that they should try and dress modestly even in very warm weather.
The client is seen in the emergency center for heat exhaustion as a result of exposure. The nurse anticipates that treatment will include:
1. Replacement of fluid and electrolytes 2. Initiation of oral antibiotic therapy 3. Application of hypothermia wraps 4. Alcohol sponge baths