David, a 38-year-old man, underwent a craniotomy to relieve increased ICP. What would be the most appropriate nursing intervention postoperatively?
Frequently changing the patient's position for comfort.
Stimulating the patient every hour to assess LOC.
Keeping the patient in a supine position.
Elevating the head of the bed 20 to 30 degrees.
The Correct Answer is D
A. While position changes are important, maintaining proper head positioning is crucial for managing increased intracranial pressure (ICP).
B. While assessing the patient's level of consciousness is important, excessive stimulation can increase ICP.
C. Keeping the patient flat can exacerbate increased ICP, and elevation of the head is preferred.
D. Elevating the head of the bed helps promote venous drainage from the brain and can reduce ICP.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. A urine output of 300 ml/hr and low specific gravity are not indicative of normal renal function.
B. Diabetes insipidus is characterized by excessive urine output (polyuria) with low urine specific gravity.
C. Acute kidney injury would typically present with oliguria (decreased urine output) or anuria (absence of urine output).
D. Urinary tract infection would typically present with other signs such as dysuria, urgency, and possibly fever, but not necessarily altered urine output and specific gravity.
Correct Answer is D
Explanation
A. Colorectal cancer could be a concern but is not the immediate concern when a patient presents with black, tarry stools, which typically indicate upper gastrointestinal bleeding.
B. Antacids do not typically cause black, tarry stools.
C. Consuming too much fiber may cause changes in stool consistency but is not typically associated with black, tarry stools.
D. Black, tarry stools are often indicative of upper gastrointestinal bleeding, which can be serious and requires immediate medical attention.
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