NEUROLOGY
HEMIPARESIS
|
Question
[CLICK ON ANY CHOICE TO KNOW THE RIGHT ANSWER]
|
|
|
Administer corticosteroids as ordered.
|
|
|
Document signs and symptoms of inflammation.
|
|
|
Give acetaminophen per orders.
|
|
|
Assess for weight loss.
|
Detailed explanation-1: -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-2: -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-3: -The head of the client with increased ICP should be positioned so that the head is in a neutral, midline position. The nurse should avoid flexing or extending the neck or turning the head side to side. The head of the bed should be raised to 30 to 45 degrees.
Detailed explanation-4: -Activities that can increase ICP should be avoided. These activities include suctioning, coughing, vomiting, and compression of jugular veins. Patient care should not be clustered, as this may also cause an increase in ICP. A ventriculostomy can be used to continuously monitor a patient’s intracranial pressure.