NEUROLOGY
HEMIPARESIS
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Question
[CLICK ON ANY CHOICE TO KNOW THE RIGHT ANSWER]
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Trendelenburg position.
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prone position with the head turned to the unaffected side.
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dorsal recumbent position.
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supine position with the head slightly elevated.
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Detailed explanation-1: -Which is the best position for the client to be placed? After a craniotomy, the head of the bed is elevated 30 to 45 degrees (semi-Fowler’s to Fowler’s position), and the client’s head is maintained in a midline, neutral position to facilitate venous drainage.
Detailed explanation-2: -Nursing Interventions If a patient is suspected of having increased ICP, immediate interventions should include securing the airway, maintaining adequate oxygenation and ventilation, and providing circulatory support as needed.
Detailed explanation-3: -The answer is C. A ventriculostomy is a catheter inserted in the area of the lateral ventricle to assess ICP. It will help drain CSF during increase pressure readings and measure ICP. The nurse must monitor for ICP levels greater than 20 mmHg and report it to the doctor.
Detailed explanation-4: -In most patients with intracranial hypertension, head and trunk elevation up to 30 degrees is useful in helping to decrease ICP, providing that a safe CPP of at least 70 mmHg or even 80 mmHg is maintained.