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

Monitor the patient for pain.

Monitor the patient for increased intracranial pressure (ICP).

Monitor the patient for an infection.

Monitor the patient for excessive bleeding or hemorrhage.

Answer and Explanation

The Correct Answer is B

A. Pain management is important, but it is not the highest priority compared to life-threatening complications like increased ICP.
B. Increased intracranial pressure is a critical and potentially life-threatening complication following a craniotomy. Monitoring for signs of increased ICP (e.g., altered level of consciousness, pupil changes, headache, vomiting) is a top priority to prevent brain herniation and other severe outcomes.
C. Infection is a concern, particularly at the surgical site, but it typically develops over time and is not as immediately life-threatening as increased ICP.
D. Hemorrhage is a serious complication, but signs of bleeding often contribute to increased ICP. Therefore, ICP monitoring encompasses broader neurological assessment and takes priority

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Correct Answer is A

Explanation

A. Falls are the leading cause of spinal cord injuries in older adults due to factors like decreased balance, muscle weakness, and osteoporosis.
B. Sporting accidents are more common causes of spinal injuries in younger populations.
C. Motor vehicle accidents are a common cause overall but less so in the elderly compared to falls.
D. Gunshot wounds are a less common cause of spinal cord injuries in older adults.

A. prevents a further increase in intracranial pressure. B. promotes comfort and rest C. restores neutral position of the joints. D. prevents the formation of blood clots

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.

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

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

nurse is teaching a group of nursing students about spinal cord injuries in clients who are aged 65 years and older. Which of the following should the nurse identify as the most common cause of spinal cord injuries for this age group?

Correct Answer is A

Explanation

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

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