NUR 445: Exam 3 Review (#4) Questions and Answers with
Complete Solutions UPDATED!!!
Before teaching about ICP- what should the nurse ensure about
the patient?
That they are conscious, can't give teaching to an incompetent
patient.
What are four assessment findings in a patient with a brain
tumor?
- Dysphagia
- Papilledema
- Hemiplegia
- Vertigo
What are four teaching points for a patient going home with a
brain tumor?
- Sitting at 30 degrees
- S/S of ICP
- Increase fiber and water
- Dressing changes
What is used to monitor ICP?
Intraventricular catheter
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Before doing a lumbar puncture, what should the nurse make
sure patients can do?
Lay still.
Name one assessment finding during a neuro exam for a patient
with multi organ failure.
Change in LOC
If a patient had pleurodesis and spontaneous pneumo after,
what would they complain of?
Pain
When a patient has chest tubes removed, what are two
teaching points for the nurse to rely?
They need to have a dressing for two days and may experience
pain.
What are two interventions to prevent ventilator
complications?
- Move the tubing so they do not get skin breakdown.
- Oral care q2hr
If someone is sedated for an MRI, do they need to be NPO?
Yes!
Chest tube for a tension pneumo would be placed where?
In the 2nd intercostal space of midclavicular line.