The nurse notes on the surgical schedule that a patient is scheduled for cranial burr holes. For which health problems does the nurse realize this type of surgical approach is indicated?
Select all that apply.
1. Ischemic stroke
2. Migraine headache
3. Epidural hematoma
4. Hemorrhagic stroke
5. Acute subdural hematoma
Correct Answer: 3, 5
The treatment of choice for epidural hematomas and large acute subdural hematomas is surgical evacuation of the clot. This can often be performed through burr holes made into the skull. Cranial burr holes are not the treatment of choice for an ischemic stroke, migraine headaches, or hemorrhagic stroke.
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A client is hemorrhaging from bleeding esophageal varices and has an esophagogastric tube. Which nursing intervention is the priority?
a. Keep the client sedated to prevent tube dislodgement. b. Maintain balloon pressure at between 15 and 20 mm Hg. c. Irrigate the gastric lumen with normal sa-line. d. Maintain the client's airway.
A client has been taught about lifestyle changes to help manage newly diagnosed diabetes mellitus type 2 . Which statement by the client indicates good understanding?
a. "Weight gain may lead to type 1 diabetes and I would need insulin." b. "I may not need to take medications if my weight is maintained." c. "I do not have to check my blood glucose if my weight is in the proper range." d. "My vision and foot pain may go away if I lose some weight."
Which hormone is responsible for the development of secondary sexual characteristics in the male?
A) Testosterone B) Progesterone C) Growth-stimulating hormone D) Luteinizing hormone
The following outcome would be expected if the nursing intervention were to provide reality orientation to a patient:
A) The patient writes examples of positive thoughts about self. B) The patient reports feelings of calmness after therapy. C) The patient identifies the day of the week/month/season of year. D) The patient accepts reality as stated by the nurse.