Med-Surg ATI Capstone Practice Questions

a nurse is caring for a client who is having surgery for the removal of an encapsulated acoustic tumor. Which of the following potential complications should the nurse monitor for postoperatively? (select all that apply.) a. increased intracranial pressure B. Hemorrhagic shock C. Hydrocephalus D. Hypoglycemia E. seizures correct answers a. CORRECT: a client who has had a craniotomy should be monitored postoperatively for increased iCP. C. CORRECT: Following a craniotomy, the client should be monitored for the development of hydrocephalus E. CORRECT: seizures is a postoperative complication that should be monitored following a craniotomy. a nurse is caring for a client who has just undergone a craniotomy for a supratentorial tumor. Which of the following postoperative prescriptions should the nurse clarify with the provider? a. Dexamethasone 30 mg iV bolus BiD B. morphine sulfate 2 mg iV bolus Prn every 2 hr for pain C. ondansetron 4 mg iV bolus Prn every 4 to 6 hr for nausea D. Phenytoin 100 mg iV bolus TiD correct answers B. CORRECT: narcotic analgesics should be avoided postoperatively due to their Cns depressant effects. a nurse is completing an assessment of a client who has increased intracranial pressure (iCP). Which of the following are expected findings? (select all that apply.) a. Disoriented to time and place B. restlessness and irritability C. unequal pupils D. iCP 15 mm Hg E. Headache correct answers a. CORRECT: Changes in level of consciousness are an early indicator of increased iCP. B. CORRECT: increased iCP can cause behavior changes, such as restlessness and irritability. C. CORRECT: unequal pupils indicates pressure on the oculomotor nerve secondary to increased iCP. E. CORRECT: a headache is a manifestation of increased iCP. a nurse is reviewing a prescription for dexamethasone with a client who has an expanding brain tumor. Which of the following are appropriate statements by the nurse? (select all that apply.)