A nurse is caring for a client who experienced a traumatic head injury and has an
intraventricular catheter (Ventriculostomy) for ICP monitoring. The
... [Show More] nurse should monitor the
client for which of the following complications related to the ventriculostomy?:
a. Headache
b. Infection
c. Aphasia
d. Hypertension - b. Infection
Monitor for infection and use strict asepsis to avoid life-threatening meningitis.
A nurse is providing education to a client who is to undergo an EEG the next day. Which of
the following info should the nurse include in the teaching?
a. "Do not wash your hair the morning of the procedure."
b. "Try and stay awake most of the night prior to the procedure."
c. "The procedure will take approximately 15 mins."
d. "You will need to lie flat for 4 hours after the procedure." - b. "Try and stay awake most of
the night prior to the procedure."
Tell the client to remain awake to provide cranial stress and increase the possibility of
abnormal electrical activity
A nurse is caring for a client who is postprocedural following a lumbar puncture and reports a
throbbing headache when sitting upright. Which of the following actions should the nurse
take? SATA.
a. Use the GCS scale to assess the client
b. Assist the client into a supine position
c. Administer an opioid analgesic
d. Encourage the client to increase PO fluid intake
e. Instruct the client to perform coughing and deep breathing - B, D
A nurse is caring for a client who has continuous bladder irrigation following a transurethral
resection of the prostate (TURP). Which of the following findings should the nurse report to
the provider?
a Output equal to the instilled irrigate
b. Client reports bladder spasms
c. Viscous urinary output with clots
d. Reports of strong urge to urinate - c. Viscous urinary output with clots
Urine that is bright red with clots is an indication of arterial bleeding.
A nurse is monitoring the ECG of a client who has hypocalcemia. Which of the following
findings should the nurse expect?
a. Flattened T waves
b. Prolonged QT intervals
c. Shortened QT intervals
d Widened QRS complexes - b. Prolonged QT intervals
Manifestations of hypocalcemia include tingling, numbness, tetany, seizures, prolonged QT
intervals, and laryngospasm.
A nurse is preparing a client who has a brain tumor for a CT scan. Which of the following
factors affects the manner in which the nurse will prepare the client for the [Show Less]