Nursing_450_Final_Exam_Questions_and_Answers_Latest_2023...

1. The nurse is caring for a client who has increased intracranial pressure. Which of the nursing interventions by the nurse is appropriate? a. Teach controlled coughing and deep breathing b. Provide a brightly lit environment c. Elevate the head of the bed 30 degrees d. Encourage minimum intake of 2000 mL/day of clear fluids 2. A client is brought to the emergency room with a 30 percent burn over her lower extremities. Which of the following interventions should the nurse perform first? a. Clean and dress the wound b. Remove the clients clothing c. Administer a tetanus booster d. Initiate a peripheral IV 3. A nurse is caring for a client admitted to the nursing unit from the PACU following a craniotomy. The initial nursing assessment should focus on a. Intracranial pressure b. Pupillary reflexes c. Level of consciousness d. Airway patency