A nurse is caring for a client who is experiencing Increased Intracranial pressure following a head Injury. In which of the following positions should the nurse place the client?

Sims

Supine

Left lateral

Low-Fowler's

Answer and Explanation

The Correct Answer is D

A.   The Sims position is a lateral position used for procedures such as rectal examinations and enemas and is not typically indicated for managing increased intracranial pressure.
B.   The supine position may worsen increased intracranial pressure by increasing venous return and intracranial pressure.
C.   The left lateral position may be used in specific circumstances, such as to relieve pressure on the vena cava in pregnancy, but it is not typically indicated for managing increased intracranial pressure.
D.   Positioning the client in Low-Fowler's position (with the head of the bed elevated approximately 15-30 degrees) helps facilitate venous drainage from the brain, thereby reducing intracranial pressure. This position promotes optimal cerebral perfusion and helps manage increased intracranial pressure.

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Correct Answer is C

Explanation

A. While simvastatin can cause adverse effects such as myopathy and rhabdomyolysis, edema is not a common side effect associated with this medication.
B. Weight loss is not typically associated with simvastatin use and is not a common side effect that requires monitoring and reporting.
C. Muscle weakness is a potential adverse effect of simvastatin and should be monitored closely, as it may indicate myopathy or rhabdomyolysis, serious complications that require prompt medical attention.
D. Fever is not a common side effect of simvastatin and is not typically associated with its use.

A. "I will avoid using my microwave oven at home because of the ICD." B. "I will wear loose clothing over my ICD." C. "I can hold my cell phone on the same side of my body as the ICD." D. "I will soak in the tub rather than showering."

Correct Answer is B

Explanation

A. Modern ICDs are designed to withstand interference from household appliances like microwaves.
B. Wearing loose clothing over the implant site can help avoid irritation and discomfort around the ICD.
C. It is recommended to keep cell phones at least six inches away from the ICD to avoid potential electromagnetic interference.
D. There is no general restriction against showering with an ICD; precautions mainly focus on the period immediately after implantation.

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A nurse is caring for a client who is experiencing Increased Intracranial pressure following a head Injury. In which of the following positions should the nurse place the client?

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