Ati Comprehensive 2023 Latest Sure Exam
What actions can the nurse take to reduce the risk of IICP? - elevate HOB 30 degrees, avoid extreme flexion of head, give O2 as indicated, c-spine, provide adequate fluids, ventilation; give stool softener to avoid valsalva maneuver; avoid moving neck and placing pillows 67. What findings are associated with IICP? - decorticate/decerebrate posturing, dilated pupils, headache, HTN, bradycardia 68. What do you monitor for with a patient taking mannitol for IICP? - Hyponatremia because it is an osmotic diuretic; serum electrolytes will need to be taken to monitor. 69. What is an expected finding of macular degeneration? - Decreased central vision 70. What is an indication of a vaso-occlusive crisis in the patient with sickle-cell anemia? - Hematuria
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