The nurse is working with a 39-year-old client who has suffered a head injury as a result of a fall from a scaffold. Which of the conditions listed most likely describes increased intracranial pressure as a result of increased tissue volume?
The nurse is caring for a client with an increased intracranial pressure. Elements of the nursing plan include which of the following? Select all that apply.
The nurse is caring for a client with a brain tumor. The client has an altered level of consciousness and is experiencing bradycardia, bradypnea, and a widening pulse pressure. Which of the following interventions are appropriate for this client? Select all that apply.
The nurse is caring for a ventilated client with increased intracranial pressure following a motor vehicle accident. The nurse monitors the PaCO2 to ensure it remains between 30-35 mm Hg. Which of the following is an expected outcome at this range of PaCO2? Select all that apply.
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 nurse is caring for an 8-year-old child in the ICU who has suffered a neurological injury. The nurse is monitoring the child’s intracranial pressure through the monitor and notes that it is normally about 17 to 18 mmHg but then jumps to 24 mmHg for several minutes when the nurse suctions the client’s endotracheal tube. Which of the following interventions is most appropriate?
Which of the following is a common cause of increased intracranial pressure (ICP)?
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?
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?
