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
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