Uworld NCLEX Questions / Expert
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Terms in this set (20)
,The nurse is caring 2. Increasing temperature, decreasing
for the client with pulse, decreasing respirations,
increased increasing blood pressure
intracranial
pressure. The A change in vital signs may be a late
nurse would note sign of increased intracranial pressure.
which trend in vital Trends include increasing temperature
signs if the and blood pressure and decreasing
intracranial pulse and respirations. Respiratory
pressure is rising? irregularities also may occur.
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,
decreasing
respirations,
increasing blood
pressure
, The nurse has 2, 3, 4
established a goal The nurse should maintain ICP by
to maintain elevating the head of the bed 15 - 20
intracranial degrees and monitoring neurologic
pressure (ICP) status. An ICP >15 mmHg with 20 to 25
within the normal mmHg as upper limits of normal
range for a client indicates increased ICP, and the nurse
who had a should notify the HCP. Coughing and
craniotomy 12 range of motion exercises will increase
hours ago. What ICP and should be avoided in the early
should the nurse postoperative stage.
do? Select all that
apply.
1. Encourage the
client to cough to
expectorate
secretions.
2. Elevate the
head of the bed 15
- 20 degrees.
3. Contact the
HCP if ICP is >15
mmHg.
4. Monitor
neurologic status
using the Glasgow
Coma Scale.
5 Stimulate the
Strategies, Review of Key Quizzes,
and Practice Questions for
Guaranteed Success
Save
Terms in this set (20)
,The nurse is caring 2. Increasing temperature, decreasing
for the client with pulse, decreasing respirations,
increased increasing blood pressure
intracranial
pressure. The A change in vital signs may be a late
nurse would note sign of increased intracranial pressure.
which trend in vital Trends include increasing temperature
signs if the and blood pressure and decreasing
intracranial pulse and respirations. Respiratory
pressure is rising? irregularities also may occur.
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,
decreasing
respirations,
increasing blood
pressure
, The nurse has 2, 3, 4
established a goal The nurse should maintain ICP by
to maintain elevating the head of the bed 15 - 20
intracranial degrees and monitoring neurologic
pressure (ICP) status. An ICP >15 mmHg with 20 to 25
within the normal mmHg as upper limits of normal
range for a client indicates increased ICP, and the nurse
who had a should notify the HCP. Coughing and
craniotomy 12 range of motion exercises will increase
hours ago. What ICP and should be avoided in the early
should the nurse postoperative stage.
do? Select all that
apply.
1. Encourage the
client to cough to
expectorate
secretions.
2. Elevate the
head of the bed 15
- 20 degrees.
3. Contact the
HCP if ICP is >15
mmHg.
4. Monitor
neurologic status
using the Glasgow
Coma Scale.
5 Stimulate the
