Increased icp - Study guides, Class notes & Summaries

ATI MED SURG PROCTORED EXIT EXAM( 2 DIFFERENT VERSIONS ) 1. A nurse is caring for a client who is postoperative following a tracheostomy, and has copious and tenacious secretions. Which of the following is an acceptable method for thenurse to use to thin this client's secretions? 1) Provide humidified oxygen. → want to hyperoxygenate prior to suction 2) Perform chest physiotherapy prior to suctioning. 3) Prelubricate the suction catheter tip with sterile saline when suctioning the airway...

Monitor heart. Complications of the heart. - Low potassium (Hypokalemia) Epinephrine, norepinephrine, cortisol. Increase heart rate and increase in blood pressure - Catecholamines - Flight or fight response Plasma protein. It keeps water along with it. Water escapes into interstitial cell space. Swelling. Fluid is in the wrong places. Fluid in the peritoneal cavity. - Function of Albumin - decrease albumin - ascites Sodium and water retention - Function of aldosterone extracellular, inters...

The nurse is caring for the client with increased intracranial pressure. The nurse would note which trend in vital signs if the intracranial pressure is rising? 1. Increasing temperature, increasing pulse, increasing respirations, decreasing blood pressure 2. Increasing temperature, decreasing pulse, decreasing respirations, decreasing blood pressure 3. Decreasing temperature, decreasing pulse, increasing respirations, decreasing blood pressure 4. Decreasing temperature, increasing pulse, d...

Comp #1 Spinal Cord Injury/Surgery/Procedure - Expected finding: o Decreased reflexes o Numbness/tingling o Inability to urinate (from low spinal cord injury) - Not Expected: o Decreased RR. o Headache (increased ICP) o CSF halo (yellow fluid) - Post-Op: o Airway, circulation o Monitor for ICP, Neuro checks, VS closely - Complication: o Autonomic Dysreflexia. S/S:  Numbness & tingling (expected)  Severe hypotension  Cessation of breathing (not expected). Heparin/Enoxaparin (LMWH) - Anti...

Sickle Cell Anemia: - Dx = Newborn Screening - Patient having extreme leg or abdominal pain = Give Morphine - Patient with pain and fever = Blood culture to test for infection - NO CURE, but possible bone marrow transplants - If a patient with sickle cell is in pain and has had pain med but still has a headache….CALL MD… patient could be having a stroke and needs a CT scan: on test - Management = KEEP HYDRATED and TREAT PAIN this exact answer option was on the test o No strenuous e...

Adult Health 2 - Increased ICP NCLEX A+ The nurse is caring for a patient with increased intracranial pressure (IICP). The nurse realizes that some nursing actions are contraindicated with IICP. Which nursing action should be avoided? 1. Reposition the patient every two hours. 2. Position the patient with the head elevated 30 degrees. 3. Suction the airway every two hours per standing orders. 4. Provide continuous oxygen as ordered. ️Correct Answer: C Rationale: If the drainage i...

ECCO Caring for Patients with Neurologic Disorders: Part 1 Questions and Answers 100% Pass What vital sign assessments herald impending brainstem herniation? Increased SBP w/widening pulse pressure, changes in respirations, and bradycardia A patient is admitted after sustaining traumatic brain injury in a motorcycle crash. The patent's GCS score on admission is E 2, M 3, V 1T = 6T. Which of the following should the nurse perform to prepare the patient for ICP monitoring? Prior to placement of ...

1. A A. Dextrose 5% in water Rationale: TPN contains high concentrations of certain nutrients. Infusing dextrose 5% in water could cause rapid shifts in serum levels of some substances. B. 0.9% sodium chloride Rationale: TPN contains high concentrations of certain nutrients. Infusing 0.9% sodium chloride could cause rapid shifts in serum levels of some substances. C. Dextrose 10% in water Rationale: TPN contains high concentrations of dextrose and proteins. To avoid hypoglycemia, t...

Of the following patients, the nurse recognizes that the one with the highest risk for a stroke is a(n) A. obese 45-yr-old Native American B. 35-yr-old Asian American woman who smokes C. 32-yr-old white woman taking oral contraceptives D. 65-yr-old African American man with hypertension correct answer: D. 65-yr-old African American man with hypertension The factor related to cerebral blood flow that most often determines the extent of cerebral damage from a stroke is the A. a...

OB Exam 2 Questions and Answers Latest Updated 2024/2025 - Galen College of Nursing. What is the most common medical complication of pregnancy? correct answers Hypertension What is PIH? correct answers Pregnancy induced hypertension How is PIH diagnosed? correct answers 140/90 two times 6 hours apart What is gestational hypertension? correct answers Onset after 20 weeks of gestation without proteinuria, return of normal B/P in postpartum What is Pre-eclampsia? correct answers onset after 20...