100% satisfaction guarantee Immediately available after payment Both online and in PDF No strings attached
Previously searched by you
Test Bank For Brunner & Suddarth's Textbook of Medical- Surgical Nursing 15th Edition By Janice L Hinkle, Kerry H. Cheever, Et al. chapter 61$2.99
Add to cart
CHAPTER 61: MANAGEMENT OF PATIENTS WITH NEUROLOGIC DYSFUNCTION
Hinkle: Brunner & Suddarth's Textbook of Medical-Surgical Nursing, 15th Edition
MULTIPLE CHOICE
1. A client is being admitted to the neurologic ICU following an acute head injury that has
resulted in cerebral edema. When planning this client's care, the nurse would expect to
administer what priority medication?
A. Hydrochlorothiazide
B. Furosemide
C. Mannitol
D. Spironlactone
ANS: C
Rationale: The osmotic diuretic mannitol is given to dehydrate the brain tissue and reduce
cerebral edema. This drug acts by reducing the volume of brain and extracellular fluid.
Spironlactone, furosemide, and hydrochlorothiazide are diuretics that are not typically used in
the treatment of increased ICP resulting from cerebral edema.
PTS: 1 REF: p. 2012
NAT: Client Needs: Physiological Integrity: Pharmacological and Parenteral
Therapies TOP: Chapter 61: Management of Clients With Neurologic Dysfunction
2. The nurse is providing care for a client who is unconscious. What nursing intervention takes
highest priority?
A. Maintaining accurate records of intake and output
B. Maintaining a patent airway
C. Inserting a nasogastric (NG) tube as prescribed
D. Providing appropriate pain control
ANS: B
Rationale: Maintaining a patent airway always takes top priority, even though each of the other
listed actions is necessary and appropriate.
PTS: 1 REF: p. 1994
, NAT: Client Needs: Safe, Effective Care Environment: Management of Care
TOP: Chapter 61: Management of Clients With Neurologic Dysfunction
3. The nurse is caring for a client in the ICU who has a brain stem herniation and who is exhibiting
an altered level of consciousness. Monitoring reveals that the client's mean arterial pressure
(MAP) is 60 mm Hg with an intracranial pressure (ICP) reading of 5 mm Hg. What is the nurse's
most appropriate action?
A. Position the client the high Fowler position as tolerated.
B. Administer osmotic diuretics as prescribed.
C. Participate in interventions to increase cerebral perfusion pressure (CPP).
D. Prepare the client for
craniotomy. ANS: C
, Rationale: The CPP is 55 mm Hg, which is considered low. The normal CPP is 70 to 100 mm Hg.
Clients with a CPP of less than 50 mm Hg experience irreversible neurologic damage. As a result,
interventions are necessary. A craniotomy is not directly indicated. Diuretics and increased
height of bed would exacerbate the client's condition.
PTS: 1 REF: p. 2000
NAT: Client Needs: Physiological Integrity: Reduction of Risk
Potential TOP: Chapter 61: Management of Clients With Neurologic
Dysfunction
4. The nurse is caring for a client who is postoperative following a craniotomy. When writing the
plan of care, the nurse identifies a diagnosis of "deficient fluid volume related to fluid restriction
and osmotic diuretic use." What is the nurse's most appropriate intervention for this diagnosis?
A. Change the client's position as indicated.
B. Monitor serum electrolytes.
C. Maintain NPO status.
D. Monitor arterial blood gas (ABG) values.
ANS: B
Rationale: The postoperative fluid regimen depends on the type of neurosurgical procedure and
is determined on an individual basis. The volume and composition of fluids are adjusted based on
daily serum electrolyte values, along with fluid intake and output. Fluids may have to be
restricted in clients with cerebral edema. Changing the client's position, maintaining an NPO
status, and monitoring ABG values do not relate to the nursing diagnosis of deficient fluid
volume.
PTS: 1 REF: p. 2014
NAT: Client Needs: Physiological Integrity: Reduction of Risk
Potential TOP: Chapter 61: Management of Clients With Neurologic
Dysfunction
5. A client with a documented history of seizure disorder experiences a generalized seizure. What
nursing action is most appropriate?
A. Restrain the client to prevent injury.
B. Open the client's jaws to insert an oral airway.
C. Place client in high Fowler position.
D. Loosen the client's restrictive clothing.
ANS: D
The benefits of buying summaries with Stuvia:
Guaranteed quality through customer reviews
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying these notes from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller EXAMINER001. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $2.99. You're not tied to anything after your purchase.
