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. Provide the patient a quiet and calm environment.. B. Minimize procedures that potentially produce agitation. C. Facilitate an increased number of family visits to the patient. D. Encourage the patient's family to increase patient interactions. E. Observe the patient for signs of agitation or irritation and intervene. F. Observe the patient for signs of agitation or irritation and intervene.

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

Explanation

A quiet and calm environment helps reduce stimuli that can increase ICP and cause discomfort.
B. Minimizing procedures that cause agitation prevents spikes in ICP and patient distress.
C. Too many or prolonged family visits can overstimulate the patient, increasing ICP and discomfort.
D. Excessive interaction may overstimulate the patient; interaction should be limited based on tolerance.
E. Early identification and intervention for agitation help maintain stable ICP and patient comfort.

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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

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.)

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

Explanation

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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.)