A 24-year old male demonstrates signs of increased intracranial pressure after a diving accident. The health care provider pres mannitol. Which assessment findings indicate that continued therapy is needed to reduce the intracranial pressure? (Select all apply) Answers: A-F A A decreased level of consciousness. B An increase in the respiratory rate. C Cerebral perfusion pressure less than 60 mm Hg D A lowering of the systolic blood pressure.
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- A/An _______________ is performed to gain access to the brain or to relieve intracranial pressure.Which vital sign findings would alert the nurse to a client's opioid overdose? 70/40 mm Hg, weak pulse, and respiratory rate of 10 breaths per minute 180/100 mm Hg, tachycardia, and respiratory rate of 18 breaths per minute 120/80 mm Hg, regular pulse, and respiratory rate of 20 breaths per minute 140/90 mm Hg, irregular pulse, and respiratory rate of 28 breaths per minuteA client with renal lithiasis is receiving morphine sulfate every four hours for pain and renal colic. Which assessment finding should prompt the nurse to administer a PRN dose of naloxone? A. Unresponsive to verbal or tactile stimuli. B. Respiratory rate of 12 breath/minute. C. Statements about visual hallucinations. D. Complaints of increasing flank pain.
- For tetralogy of Fallot describe the roles of three professionals who the RN would incorporate when planning discharge for this condition.1). Due to the client’s diagnosis of low back pain, cyclobenzaprine is prescribed. Which instructionsshould the nurse teach the client? Select all that applyA. Take the medication just before leaving home for work each day.B. Drink a full glass of water with each dose of medication.C. The medication can cause drowsiness that will make driving unsafe.D. Divide the dose of medication between early morning and bedtime.E. Encourage the client to change positions slowly. 2).The nurse working in the postanesthesia care unit (PACU) recovering a male client after anexploratory laparotomy administers the prescribed hydromorphone intravenously. Five minuteslater the nurse assess the client’s respirations at 8 breaths per minute. Which interventionshould the nurse implement first?A. Ask the anesthesiologist to come and assess the client.B. Administer naloxone intravenously.C. Re-assess the client’s respiratory status in 20 minutes.D. Use an ambu bag and ventilate the client. 3).An adolescent…A nurse is caring for an obese 62-year-old patient with arthri-tis who has developed an open reddened area over his sacrum. What is a priority nursing diagnosis for this patient?a. Imbalanced Nutrition: More Than Body Requirementsrelated to immobilityb. Impaired Physical Mobility related to pain and discomfortc. Chronic Pain related to immobilityd. Risk for Infection related to altered skin integrity
- Mr. Reyes was admitted from the emergency department after receiving treatment for dysrhythmias and will be started on amiodarone (Cordarone, Pacerone) because of lack of therapeutic effects from his other antidysrhythmic therapy. When the nurse checks with him in the afternoon, he complains of feeling light-headed and dizzy. What will the nurse assess first? a.Whether the client’s pulse and blood pressure are within normal limits b.Whether there is the possibility of sleep deprivation from the stress of admission to the hospitalc.Whether the amiodarone level is not yet therapeutic enough to treat the dysrhythmias d. Whether an allergic reaction is occurring with anticholinergic-like symptomsWhy letter a is the right answer and why not the other options are considered to be wrong. Explain eachPrompt 1: Explain in detail the different types of dementia. Prompt 2: Explain in detail the difference between ischemic vs. hemorrhagic stroke. Please correlate your responses to Rowena’s case Rowena is an older woman. she has vascular dementia. In the morning she had a slurred speech and drooping face. She was hardly able to use her fork and dropped it while eating. She has had Hypertension for 20 years and high cholesterol. She had kidney stones as well 3 years ago.An older client is receiving an IV of 0.9% Normal Saline solution at 75 mL/hour. Which finding indicates to the practical nurse that the client may be developing a complication from this therapy? A Episodes of vertigo and loss of balance.B Fatigue and breathlessness upon exertion. C Apical pulse rate of 64 beats/minute. D Average 24-hour urinary output of 1,400 mL.
- For the management of hypertensive crisis, the nurse is aware that the initial goal of treatment includes: a. Decreasing the mean arterial pressure (MAP) by no more than 20-25% b. Decreasing the diastolic blood pressure below 100 as soon as possible c. The use of ACE inhibitors and diuretics to lower blood pressure quickly d. Decreasing the mean arterial pressure (MAP) to 80-100 mmHg within 30 minutesAnswer BOTH in 2 - 3 paragraphs 1. What is the nature of the illness stroke? 2. What causes a stroke?An 18 month old child is admitted with signs of increased intracranial pressure. What would the nurse observe when assessing this patient? Numbness of fingers and decreased temperature Increased pulse rate and decreased blood pressure Decrease level of consciousness and decreased respiratory rate Decreased level of consciousness and increased respiratory rate