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","D","E"]

Explanation

A. Radical neck dissection is a surgical procedure that removes the lymph nodes and other structures in the neck, and it is usually reserved for advanced cases or when radiation therapy fails.
B. Radiation therapy is often the main treatment for laryngeal cancer, as it can preserve the voice of the patient and avoid surgery.
C. Lisinopril is an angiotensin-converting enzyme (ACE) inhibitor that can cause a dry cough as a side effect, but it does not need to be discontinued unless there is another indication.
D. A PET scan can help determine the extent of cancer spread and guide treatment planning.

E. Dietary counseling is important to prevent malnutrition and dehydration, as dysphagia can impair oral intake.

A. Physical therapy B. Custom orthotic devices C. Corticosteroid injections D. Occupational therapy

Correct Answer is ["A","B"]

Explanation

A. Physical therapy can help improve muscle strength, mobility, and balance in individuals with Charcot-Marie-Tooth disease.
B. Custom orthotic devices can help support Sally's feet, improve gait, and alleviate foot deformities associated with Charcot-Marie-Tooth disease.

C. Corticosteroid injections are not typically used to treat the symptoms of Charcot- Marie-Tooth disease.
D. Occupational therapy may be beneficial for some aspects of daily living but may not directly address the symptoms of Charcot-Marie-Tooth disease.

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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

Correct Answer is ["B","D","E"]

Explanation

Sally, 33, has a family history of Charcot-Marie-Tooth disease. She presents with high-arched feet and hammer toes. Genetic testing reveals PMP22 gene duplication.

Correct Answer is ["A","B"]

Explanation

Emily, a 32-year-old woman, mentioned during her routine check-up that she has been having black, tarry stools for the past week. Which of the following should be the - healthcare provider's immediate concern?

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