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?
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?
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?
A nurse is caring for a client who suffering from bilateral subdural hematomas whose ICP has been ranging from 15-20 mm Hg. Which of the following orders should the nurse question?
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?
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 has sustained a head injury. Which of the following is part of the nursing plan? Select all that apply.
A 28-year-old client has been brought into the emergency department after suffering a closed head injury from a fall. The client is demonstrating signs of the Cushing reflex. Based on the nurse’s understanding of this condition, the nurse knows to look for which of the following signs?
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.
An early sign of increased intracranial pressure includes which of the following?
