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Terms in this set (70)
A patient has an S5 spinal the patient will be able to ambulate independently
fracture from a fall.
Whterm-23at type of
assistive device will this
patient require?
A client is being admitted Mannitol - diuretic only for cerebral edema
to the neuro ICU
following acute head
injury that has resulted in
cerebral edema. When
planning for clients care
what would nurse
administer immediately
A nurse caring for a client participate in interventions to increase cerebral
in ICU with brain stem perfusion pressure
herniation and who is
exhibiting altered level of
consciousness. MAP is
60, ICP is 5 what is most
appropriate action
,The nurse is caring for a monitor serum electrolytes 3 multiple choice options
client who is
postoperative following a
craniotomy. When writing
the plan of care, the
nurse identifies a
diagnosis of "deficient
fluid volume related to
fluid restriction and
osmotic diuretic use."
What is the nurse's most
appropriate intervention
for this diagnosis?
A client with a loosen restrictive clothing
documented history of
seizure disorder
experiences a
generalized seizure. What
nursing action is most
appropriate?
A patient who has been admin of thorough oral hygeine
on long-term phenytoin
(Dilantin) therapy is
admitted to the unit. In
light of the adverse of
effects of this medication,
the nurse should
prioritize which of the
following in the patient's
plan of care?
while performing ROM
for a client the nurse
adducts the client's
shoulders
, A nurse is caring for a The client has angina 3 multiple choice options
client with recent history
of migraines. What aspect
of this client's current
status may rule out the
safe use of triptans?
A client with increased meningitis
ICP has a
ventriculostomy for
monitoring ICP. The
nurse's most recent
assessment reveals that
the client is now
exhibiting nuchal rigidity
and photophobia. The
nurse would be correct
in suspecting the
presence of what
complication?
Which of the following is parkinsons 3 multiple choice options
a disorder due to a lesion
in the basal ganglia
The nurse is caring for a intravenous diazepam 3 multiple choice options
client who is in status
epilepticus. What
medication should the
nurse anticipate
administering to halt the
seizure immediately?