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.

Answer and Explanation

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.

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Correct Answer is B

Explanation

A. This mechanism is more relevant in conditions like pancreatitis or tissue injury involving enzyme release, not specifically in traumatic inflammation.
B. Inflammation leads to increased vascular permeability and fluid accumulation (edema), which can compress nerve endings and cause pain.
C. Lysis refers to the breakdown of cells, which may release heat, but this is not typically a significant factor in localized inflammation from trauma.
D. Acidic waste accumulation occurs in cell death processes like necrosis, but it's not the primary mechanism causing pain in traumatic inflammation.

A. Herpes Zoster B. Hepatitis C C. Influenza D. Pneumococcal

Correct Answer is C

Explanation

A. This vaccine is recommended for adults over 50 years old to prevent shingles, but it is not typically administered annually.
B. There is no routine annual immunization for Hepatitis C.
C. Annual influenza vaccination is strongly recommended for patients with COPD to reduce the risk of influenza-related complications.
D. While pneumococcal vaccination is important for patients with COPD, it is not administered annually in most cases.

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David, a 38-year-old man, underwent a craniotomy to relieve increased ICP. What would be the most appropriate nursing intervention postoperatively?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is B

Explanation

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Correct Answer is C

Explanation

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