A nurse is caring for a client who experienced a traumatic head injury and has an

intraventricular catheter (Ventriculostomy) for ICP monitoring. The nurse should monitor

the client for which of the following complications related to the ventriculostomy?:

a. Headache

b. Infection

c. Aphasia

d. Hypertension - b. Infection

Monitor for infection and use strict asepsis to avoid life-threatening meningitis.

A nurse is providing education to a client who is to undergo an EEG the next day. Which of

the following info should the nurse include in the teaching?

a. "Do not wash your hair the morning of the procedure."

b. "Try and stay awake most of the night prior to the procedure."

c. "The procedure will take approximately 15 mins."

d. "You will need to lie flat for 4 hours after the procedure." - b. "Try and stay awake most

of the night prior to the procedure."

Tell the client to remain awake to provide cranial stress and increase the possibility of

abnormal electrical activity

A nurse is caring for a client who is postprocedural following a lumbar puncture and

reports a throbbing headache when sitting upright. Which of the following actions should

the nurse take? SATA.

a. Use the GCS scale to assess the client

b. Assist the client into a supine position

c. Administer an opioid analgesic

d. Encourage the client to increase PO fluid intake

e. Instruct the client to perform coughing and deep breathing - B, D

A nurse is caring for a client who has continuous bladder irrigation following a

transurethral resection of the prostate (TURP). Which of the following findings should the

nurse report to the provider?

a Output equal to the instilled irrigate

b. Client reports bladder spasms