Exam 53: Nursing Management: Acute Intracranial Problems

After the emergency department nurse has received a status report on the following patients who have been admitted with head injuries,which patient should the nurse assess first?

A college athlete is seen in the clinic 6 weeks after a concussion.Which assessment information will the nurse collect to determine whether a patient is developing postconcussion syndrome?

A patient has been admitted with meningococcal meningitis.Which observation by the nurse requires action?

A male patient who has possible cerebral edema has a serum sodium level of 116 mEq/L (116 mmol/L)and a decreasing level of consciousness (LOC).He is now complaining of a headache.Which prescribed interventions should the nurse implement first?

The charge nurse observes an inexperienced staff nurse caring for a patient who has had a craniotomy for resection of a brain tumor.Which action by the inexperienced nurse requires the charge nurse to intervene?

An unconscious 39-year-old male patient is admitted to the emergency department (ED)with a head injury.The patient's spouse and teenage children stay at the patient's side and ask many questions about the treatment being given.What action is best for the nurse to take?

A patient being admitted with bacterial meningitis has a temperature of 102.5° F (39.2° C)and a severe headache.Which order for collaborative intervention should the nurse implement first?

To assess for functional deficits,which question will the nurse ask a patient who has been admitted for treatment of a benign occipital lobe tumor?

When a brain-injured patient responds to nail bed pressure with internal rotation,adduction,and flexion of the arms,the nurse reports the response as

After evacuation of an epidural hematoma,a patient's intracranial pressure (ICP)is being monitored with an intraventricular catheter.Which information obtained by the nurse is most important to communicate to the health care provider?

Which patient is most appropriate for the intensive care unit (ICU)charge nurse to assign to a registered nurse (RN)who has floated from the medical unit?

Admission vital signs for a brain-injured patient are blood pressure 128/68,pulse 110,and respirations 26.Which set of vital signs,if taken 1 hour after admission,will be of most concern to the nurse?

Which is the correct point on the accompanying figure where the nurse will assess for ecchymosis when admitting a patient with a basilar skull fracture?

The public health nurse is planning a program to decrease the incidence of meningitis in adolescents and young adults.Which action is most important?

Which information about a 30-year-old patient who is hospitalized after a traumatic brain injury requires the most rapid action by the nurse?

When admitting a 42-year-old patient with a possible brain injury after a car accident to the emergency department (ED),the nurse obtains the following information.Which finding is most important to report to the health care provider?

The nurse is caring for a patient who was admitted the previous day with a basilar skull fracture after a motor vehicle crash.Which assessment finding is most important to report to the health care provider?

After having a craniectomy and left anterior fossae incision,a 64-year-old patient has a nursing diagnosis of impaired physical mobility related to decreased level of consciousness and weakness.An appropriate nursing intervention is to

The nurse is caring for a patient who has a head injury and fractured right arm after being assaulted.Which assessment information requires the most rapid action by the nurse?

Which action will the public health nurse take to reduce the incidence of epidemic encephalitis in a community?