The nurse is caring for a client who has cerebral edema. Which of the following therapies should the nurse recognize as appropriate for the treatment of cerebral edema?
(Select All that Apply.)

Placement in Trendelenburg position

Surgical decompression of the brain

Infusion of hypertonic IV solution

Administration of IV mannitol

Regularly scheduled suctioning of secretions

Answer and Explanation

Correct Answer : B,C,D

A. Trendelenburg position (head lower than feet) increases intracranial pressure and is contraindicated in cerebral edema.
B. Surgical decompression (e.g., craniectomy) can relieve increased pressure by allowing the brain to expand safely.
C. Hypertonic IV solutions (like hypertonic saline) draw fluid out of brain cells, reducing cerebral edema.
D. Mannitol is an osmotic diuretic used to reduce cerebral edema by promoting fluid removal from brain tissue.
E. Suctioning can increase ICP due to stimulation and should be done only when necessary and carefully. Regular suctioning is not recommended.

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Correct Answer is A

Explanation

A.. Keeping the neck in midline and avoiding excessive hip flexion helps promote venous drainage from the brain, reducing the risk of increased intracranial pressure (ICP).
B. Incorrect. While comfort is important, the primary rationale is related to ICP management, not just comfort.
C. Restoring neutral joint position is not the main concern in postcraniotomy care regarding neck and hip positioning.
D. Preventing blood clots is related to mobility and circulation but not directly related to neck and hip positioning in this context.

A. Log-rolls the client onto a slider board to transfer to the CT table B. Applies a hemostatic dressing over a bleeding facial laceration C. Inserts large-bore peripheral IVS for administration of IV contrast D. Administers PRN lorazepam for client reports of claustrophobia

Correct Answer is A

Explanation

A. Log-rolling maintains spinal alignment and prevents further injury when moving a client with a suspected cervical spine injury; this is the highest priority action.
B. Controlling bleeding is important but secondary to preventing spinal cord damage.
C. IV access is necessary for contrast administration but does not take priority over spinal precautions.
D. Managing anxiety is helpful but should not delay safe transfer and spinal precautions

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The nurse is caring for a client who has cerebral edema. Which of the following therapies should the nurse recognize as appropriate for the treatment of cerebral edema? (Select All that Apply.)

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Naxlex Comprehensive Predictor Exams

You keep a postcraniotomy patient's neck in midline position and ensure that there is no excessive hip flexion. The rationale for your action would be that this position:

Correct Answer is A

Explanation

A nurse is preparing a client with a possible cervical spine injury for a prescribed CT scan of the head and neck after the client sustained a fall down a stairwell. Which intervention by the nurse is the most important?

Correct Answer is A

Explanation

Which is a priority nonoperative treatment following a spinal cord injury?

Which position would the nurse utilize when repositioning a patient who has an increased intracranial pressure (ICP)?

Which term would the nurse use to document a patient who is comatose from a head injury and displays flexion of the arms, wrists, and fingers, as well as adduction of the upper extremities?

The nurse in the emergency department is caring for a client who sustained a spinal cord injury at T4. The nurse should recognize that the client is at risk for developing

Which intervention would the nurse identify as a priority when monitoring a patient recovering from a craniotomy?

The nurse is caring for a client with cerebral edema. Which of the following should the nurse recognize as a potential cause of cerebral edema? (Select All that Apply.)

When planning the care for a patient with an increased intracranial pressure (ICP), which interventions would the nurse integrate to provide the most comfort? Select all that apply. (Select All that Apply.)

The nurse is caring for a client who has cerebral edema. Which of the following therapies should the nurse recognize as appropriate for the treatment of cerebral edema? (Select All that Apply.)

The nurse is caring for a client who has cerebral edema. Which of the following therapies should the nurse recognize as appropriate for the treatment of cerebral edema?
(Select All that Apply.)