#Unequal pupil size icp full#
Assess full ROM to determine extent of injuries.Which of the following nursing interventions should be done first? To replace antidiuretic hormone (ADH) normally secreted by the pituitary.ħ) A client comes into the ER after hitting his head in an MVA.To reduce cerebral edema and lower intracranial pressure.To prevent syndrome of inappropriate antidiuretic hormone (SIADH).Significant the client has alveolar hypoventilation.ĥ) A client who had a transsphenoidal hypophysectomy should be watched carefully for hemorrhage, which may be shown by which of the following signs?Ħ) After a hypophysectomy, vasopressin is given IM for which of the following reasons?.Emergent the client is poorly oxygenated.Appropriate lowering carbon dioxide (CO 2) reduces intracranial pressure (ICP).Which of the following responses best describes this result? Slow down the IV fluids and notify the physicianĤ) When evaluating an ABG from a client with a subdural hematoma, the nurse notes the Pa CO2 is 30 mm Hg.
#Unequal pupil size icp skin#
Provide emollients to the skin to prevent breakdown.Which of the following nursing interventions is the most appropriate to perform initially? Dilantin should be administered through an IV catheter in the client’s hand.ģ) A client with head trauma develops a urine output of 300 ml/hr, dry skin, and dry mucous membranes.Dilantin should be mixed in dextrose in water before administration.Rapid dilantin administration can cause cardiac arrhythmias.Therapeutic drug levels should be maintained between 20 to 30 mg/ml.
Which consideration is most important when administering this dose?
Which intervention should the nurse perform first? His intracranial pressure (ICP) shows an upward trend. 1) An 18-year-old client is admitted with a closed head injury sustained in a MVA.
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