A nurse is caring for a client who has experienced a head injury. The nurse calculates his cerebral perfusion pressure and notes that it is 50 mmHg. Which intervention demonstrates the most appropriate response in this situation?
A nurse comes on to her shift in the ICU where she is assigned a client with a head injury. The client requires a ventilator and has a monitor in place to check intracranial pressure. As the nurse enters the room, the pressure monitor alarms that the client’s intracranial pressure is rising. In response, the nurse should do which of the following?
Which of the following is a common cause of increased intracranial pressure (ICP)?
A nurse is evaluating a multi-trauma client in the emergency department. The initial trauma survey has been completed and the c-spine has been cleared. The following are the nurse’s assessment findings: A&0x2 (confusion to date and time), pupils are equal at 6mm, blood pressure 182/86mmHg, heart rate 44 beats/minute, respirations 22 breaths/minute. The healthcare provider orders the head of the bed to be elevated to 30 degrees. The nurse understands that which of the following is the reason for this order?
A client who has suffered a severe brain injury is being prepared for invasive intracranial pressure monitoring. Which of the following is considered a contraindication to this type of monitor? Select all that apply.
A client has sustained a head injury. Which of the following is part of the nursing plan? Select all that apply.
A client with severe depression is undergoing electroconvulsive therapy. The client has a hemodynamic monitor and a monitor of intracranial pressure in place during the procedure. As the client receives the electrical stimulus, the nurse notes that the intracranial pressure increases. Which action is the best response of the nurse?
The nurse receives report on a client on blood thinners who fell down the stairs and has periorbital ecchymosis. The head CT came back with an intracerebral hemorrhage. Which of the following is the most important to monitor closely?
An early sign of increased intracranial pressure includes which of the following?
A client is in the emergency room for a traumatic brain injury, caused by a fall. The nurse sees an order for mannitol and knows that this medication is used as primarily for as which of the following?
