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 A

Explanation

A. Inflammatory myositis, such as dermatomyositis, is typically treated with immune modulators like methotrexate to suppress the immune system and reduce inflammation.
B. NSAIDs may help with pain relief but are not typically used as the primary treatment for inflammatory myositis.
C. IV immunoglobulin may be used in some cases of inflammatory myositis, particularly in those with refractory disease, but it is not the first-line treatment.
D. Vitamin D supplements are not specific treatments for inflammatory myositis.

A. It will enhance the diffusion of gases B. It will increase the diaphragmatic workload C. It will compromise the efficiency of ventilation D. It will improve pulmonary blood supply

Correct Answer is C

Explanation

A. Multiple rib fractures are unlikely to enhance gas diffusion; instead, they can impair ventilation by reducing the ability of the chest wall to expand.
B. Multiple rib fractures can indeed increase the workload of the diaphragm as it tries to compensate for the decreased ability of the chest wall to expand during breathing.

C. Multiple rib fractures can restrict chest wall movement, leading to compromised ventilation efficiency.
D. Multiple rib fractures wouldn't directly improve pulmonary blood supply; they can lead to pain and impaired lung function.

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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

Linda, 50, has a history of rheumatoid arthritis and Raynaud's phenomenon. She presents with muscle pain, weakness, and a hellotrope rash. Her lab tests show elevated levels of aldolase and antinuclear antibodies (ANA). What medication would best help control Linda's inflammatory myositis symptoms?

Correct Answer is A

Explanation

George, a 15-year-old man, is brought to the ESL with multiple rib fractures following a motor vehicle accident. How could this injury affect his respiratory system?

Correct Answer is C

Explanation

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