Nursing care for iicp - Study guides, Class notes & Summaries

A client presents with a headache and complaining of vision difficulties. Which cranial nerve might be defective in this client? A) VIII (Vestibulocochlear) B) VII (Facial) C) XI (Accessory) D) III (Oculomotor) Answer: D A client presents to the ED with loss of consciousness. The RN evaluates the client using the Glasgow Coma Scale. The results are as follows: Eyes open to speech Abnormal flexion of extremities Use of inappropriate words What would the RN estimate this clie...

NCSBN TEST BANK FOR THE NCLEX RN 2022-2023 VERIFIED QUESTIONS and Answers with Rationale NCSBN TEST BANK FOR THE NCLEX RN 2022-2023 VERIFIED QUESTIONS and Answers with Rationale Question 1 A c. What document should be in guiding the care of this client? A) Client Self Determination Act B) Physician's treatment orders C) Advance Directives. D) Clinical Pathway protocols Review Information: The correct answer is: C) Advance...

Peds- ATI Practice Exam B 2023.Ready to pass Nurse is reviewing lab results of a school age child 1 week postop following an open fracture repair. Which findings should nurse ID as indication of potential complication? a. Erythrocyte sedimentation rate 18 mm/hr b. WBC count 6,200/mm3 c. C-reactive protein 1.4 mg/LRBC count 4.7 million/mm3 a. Erythrocyte sedimentation rate 18 mm/hr - above the expected reference range of up to 10 mm/hr and is an indication of osteomyelitis. Wrong An...

Hondros Nur 176 exam 1 Questions and Answers 100% correct Interventions to prevent diabetes Maintain healthy weight, diet and exercise Signs of type 1 diabetes 3 polys, blurred vision, cold feet, numbness, shiny thin skin w/ no hair, age 30 and under, sudden onset, underweight, Signs of type 2 diabetes No symptoms at first , later develop the 3 polys, obesity, Nigricans (black line on back of neck) skin tags S/S of hypoglycemia Fatigue, weakness, irritability, reduce co...

NR 325 MED SURG 2 EXAM (QUESTIONS AND ANSWERS) 2023/2024 alterations in the nervous system affect - CORRECT ANSWER-communication, decision making, mobility, respiratory system, ability for self-care changes in the nervous system as we age - CORRECT ANSWER-ability to submit impulse ability to interpret impulse memory loss decrease in coordination decrease in ability to sense temperature change decrease in neurons increases risk for falls decrease in making and flow of CSF decrea...

Understand treatments and nursing care for IICP, Increasing Intracranial Pressure - Maintain airway patency. Monitor neurological status; assessment areas include LOC, behavior, motor/sensory functions, pupillary size and reaction to light, and vital signs. Monitor IICP monitor orventilator. Decrease stimuli. Raise pads and bed rails; seizures may occur. Elevate the head of bed 30 degrees unless otherwise indicated. Monitor arterial blood gases. Position client as prescribed. Prevent com...

Critical Care Nursing Exam 3 (University Of Akron) Real And Latest Quiz 2023 How do we monitor patients with a TBI at risk for IICP -EKG -SpO2 -ETCO2 (end tidal) -ABP line -CVP line -ICP monitor (For severe cases add: NIRS (near infrared spectroscopy, PbtO2, brain temp, TDFCBF, EEG and BIS) Management of pts with a TBI with a ICP <20 -30 degree HOB -CPP 60-70 -SpO2 >97% -PaO2 >90 -PCO2 35-45 -Temp <37 -sugar 80-120 -RASS target: 0, w/ propofal/midazolam -Fentanyl BPS...

Care of the Patient Exam Review Solution 2024 A+ stoke - ANSWER-Most effective way to decrease the burden of stroke is prevention. Risk factors can be divided into nonmodifiable (age, gender, race) and modifiable risks (bp). Our biggest role is prevention types of stroke - ANSWER-Ischemic -Thrombotic -Embolic Hemorrhagic -Intracerebral -Subarachnoid ischemic stroke - ANSWER-Thrombotic stroke -Thrombosis occurs in relation to injury to a -blood vessel wall and formation of a blood clot...

Increased Intracranial Pressure All Answers Correct What is Intracranial Pressure? ️The cranium has three comparements: 80% the brain, 10% blood and 10% CSF. Intracranial pressure is the pressure exerted within the cranium by these contents. Pressure usually ranges from 5-15mmHg. Monro-Kellie hypothesis ️The pressure-volume relationship between ICP, volume of CSF, blood, and brain tissue, and cerebral perfusion pressure (CPP) is known as the Monro-Kellie doctrine or the Monro Kel...

Module 42: Nursing Care of Patients with Intracranial Disorders Exam Review 2024 The nurse is teaching a patient about a carotid endarterectomy. Which explanation should the nurse use to describe the procedure? - ANS-A carotid endarterectomy removes atherosclerotic plaque from the carotid arteries. The nurse is caring for a patient who was transported to the emergency department after having a seizure. Which nursing actions are critical during the postictal period of seizure activity? ...