You are caring for a child with hydrocephalus who is postoperative from a shunt revision. Which...
You are caring for a child with hydrocephalus who is postoperative from a shunt revision. Which assessment finding is your priority for increased intracranial pressure
Homework Answers
- Impaired or falling glasgow coma scale
- Bradycardia
- Pappiledema
- Sunsetting eyes
These signs indicates increased intracranial pressure, and a neurosurgical emergency.
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You are caring for a child with hydrocephalus who is
postoperative from a shunt revision. Which...
An infant with hydrocephalus is hospitalized for surgical placement of a ventriculoperitoneal shunt. Postoperative nursing care...
An infant with hydrocephalus is hospitalized for surgical placement of a ventriculoperitoneal shunt. Postoperative nursing care should include which of the following except? Monitor closely for signs of infection. Monitor head circumference Assess for skin breakdown on scalp Maintain Trendelenburg position to decrease pressure on the shunt.
pre Questions You are caring for a postoperative patient whose hematocrit and hemoglobin (H&H) are low...
pre Questions You are caring for a postoperative patient whose hematocrit and hemoglobin (H&H) are low from an elevated surgical blood loss. What can you do to help determine the impact of the dropping H&H? A Assess capillary refill from lower extremities. B. Monitor urinary output. C. Assess postural blood pressure readings. D. Assess gait strength. You are caring for a postoperative patient who is complaining of pain in her incisional area. You ask the patient to rate her pain...
You are a nurse in a medical–surgical hospital unit caring for a patient who had an...
You are a nurse in a medical–surgical hospital unit caring for a patient who had an open cholecystectomy 3 days earlier. Subsequently, the patient developed a parlay tic ileus. Additional complications require continued postoperative antibiotic infusions. a. What nursing assessment finding could indicate the presence of a paralytic ileus? b. Which medical interventions could have contributed to the development of your patient’s paralytic ileus? c. How long would you expect the paralytic ileus to last? d. In what ways would you expect a...
2. You are caring for Mr. S, who has sustained a traumatic brain injury from a...
2. You are caring for Mr. S, who has sustained a traumatic brain injury from a motor vehicle crash, presenting with a Glasgow Coma Scale score of 6. He has an intraventricular catheter for continuous measurement of intracranial pressure (ICP). His ICP has been stable at 13 mm HG for the past 4 hours. The alarm of the monitor sounds because his ICP is now 20 mm Hg. What are your priority assessments and interventions at this time? 3. Many...
You are a nurse in a medical–surgical hospital unit caring for a patient who had an...
You are a nurse in a medical–surgical hospital unit caring for a patient who had an open cholecystectomy 3 days earlier. Subsequently, the patient developed a parlay tic ileus. Additional complications require continued postoperative antibiotic infusions. a. What nursing assessment finding could indicate the presence of a paralytic ileus? b. Which medical interventions could have contributed to the development of your patient’s paralytic ileus? c. How long would you expect the paralytic ileus to last? d. In what ways would you expect a...
You are caring for a postoperative patient following abdominal surgery. The patient has an IV. Foley...
You are caring for a postoperative patient following abdominal surgery. The patient has an IV. Foley catheter, and NG tube to low wall suction. If the patient's dark brown gastric drainage becomes bright red, what is your priority intervention? Q. Decrease the amount of wall suction. R. Call the appropriate health care provider. s. Order stat hematocrit and hemoglobin. Irrigate the NG tube with warm water. T. You are caring for a postoperative patient following abdominal surgery. The patient has...
Please help Please help to fill out nursing care plan for this patient who is Hydrocephalus with VP shunt. I give you 2...
Please help Please help to fill out nursing care plan for this patient who is Hydrocephalus with VP shunt. I give you 2 nursing diagnoses so help me to finish all another part. You can change nursing diagnosis if you think which better diagnosis for this patient Nursing Care Plan Patient Medical Diagnosis: Hydrocephalus with VP shunt I. Nursing Diagnosis #1: Ineffective breathing pattern R/T disease process, tracheal dependency, 1. Assessment Data (include at least three-five subjective and/or objective pieces...
Click Submit to complete this assessment 41 Question 25 "A nurse is caring for a child...
Click Submit to complete this assessment 41 Question 25 "A nurse is caring for a child who has a tracheostomy. After suctioning the tracheostomy, the nurse should use which of the following findings to determine that the procedure was ertec Increased respiratory rate Stable oxygen saturation • Clear breath sounds Brisk capillary refill
A nurse is caring for a client following a thyroidectomy. For which of the following complications...
A nurse is caring for a client following a thyroidectomy. For which of the following complications should the nurse assess the client? Hypokalemia Muscular depression Laryngeal Stridor Hyperglycemia A nurse is teaching a client who is to start a new prescription for carbidopa-levodopa. Which of the following instructions should the nurse include? “Take with a protein snack.” “Report dark-colored urine.” “Monitor for hyperglycemia.” “Change positions slowly.” A nurse is caring for a school-age child who is postoperative and received morphine...
Please help to fill out nursing care plan for this patient who is Hydrocephalus with VP shunt. He is 6 years old. He is...
Please help to fill out nursing care plan for this patient who is Hydrocephalus with VP shunt. He is 6 years old. He is deaf and blind. I give you 2 nursing diagnoses so help me to finish all another part. Please fill out all the question in outline. Please use “Nursing Diagnosis Handbook” to finish it Nursing Care Plan Patient Medical Diagnosis: Hydrocephalus with VP shunt I. Nursing Diagnosis #1: Ineffective breathing pattern R/T disease process, tracheal dependency, 1....
An infant with hydrocephalus is hospitalized for surgical placement of a ventriculoperitoneal shunt. Postoperative nursing care should include which of the following except? Monitor closely for signs of infection. Monitor head circumference Assess for skin breakdown on scalp Maintain Trendelenburg position to decrease pressure on the shunt.
pre Questions You are caring for a postoperative patient whose hematocrit and hemoglobin (H&H) are low from an elevated surgical blood loss. What can you do to help determine the impact of the dropping H&H? A Assess capillary refill from lower extremities. B. Monitor urinary output. C. Assess postural blood pressure readings. D. Assess gait strength. You are caring for a postoperative patient who is complaining of pain in her incisional area. You ask the patient to rate her pain...
2. You are caring for Mr. S, who has sustained a traumatic brain injury from a motor vehicle crash, presenting with a Glasgow Coma Scale score of 6. He has an intraventricular catheter for continuous measurement of intracranial pressure (ICP). His ICP has been stable at 13 mm HG for the past 4 hours. The alarm of the monitor sounds because his ICP is now 20 mm Hg. What are your priority assessments and interventions at this time? 3. Many...
You are caring for a postoperative patient following abdominal surgery. The patient has an IV. Foley catheter, and NG tube to low wall suction. If the patient's dark brown gastric drainage becomes bright red, what is your priority intervention? Q. Decrease the amount of wall suction. R. Call the appropriate health care provider. s. Order stat hematocrit and hemoglobin. Irrigate the NG tube with warm water. T. You are caring for a postoperative patient following abdominal surgery. The patient has...
Click Submit to complete this assessment 41 Question 25 "A nurse is caring for a child who has a tracheostomy. After suctioning the tracheostomy, the nurse should use which of the following findings to determine that the procedure was ertec Increased respiratory rate Stable oxygen saturation • Clear breath sounds Brisk capillary refill
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