A nurse is caring for a client who is experiencing Increased Intracranial pressure following a head Injury. In which of the following positions should the nurse place the client?
Sims
Supine
Left lateral
Low-Fowler's
The Correct Answer is D
A. The Sims position is a lateral position used for procedures such as rectal examinations and enemas and is not typically indicated for managing increased intracranial pressure.
B. The supine position may worsen increased intracranial pressure by increasing venous return and intracranial pressure.
C. The left lateral position may be used in specific circumstances, such as to relieve pressure on the vena cava in pregnancy, but it is not typically indicated for managing increased intracranial pressure.
D. Positioning the client in Low-Fowler's position (with the head of the bed elevated approximately 15-30 degrees) helps facilitate venous drainage from the brain, thereby reducing intracranial pressure. This position promotes optimal cerebral perfusion and helps manage increased intracranial pressure.
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Related Questions
Correct Answer is C
Explanation
A. Having social support from friends is a protective factor against child abuse.
B. Seeking support from other parents indicates a healthy coping mechanism and reduces the risk of child abuse.
C. This statement suggests unrealistic expectations about the baby's development and behavior, which could lead to frustration and increased risk of child abuse. Unrealistic expectations are a risk factor for abusive behavior towards children.
D. This statement reflects attentiveness and responsiveness to the baby's needs, which reduces the risk of child abuse.
Correct Answer is {"A":{"answers":"B"},"B":{"answers":"A"},"C":{"answers":"B"},"D":{"answers":"A"},"E":{"answers":"A"},"F":{"answers":"A"},"G":{"answers":"A"}}
Explanation
A. Airborne precautions are appropriate for TB. Not contact.
B. Ethambutol is one of the first-line medications used in the treatment of tuberculosis (TB). It works by inhibiting the growth of TB bacteria, thereby helping to eliminate the infection.
C. A monthly TB skin test is not a standard part of treatment for a patient with active TB and is therefore contraindicated.
D. Isoniazid is another first-line medication used in the treatment of TB. It works by killing the TB bacteria and is often used in combination with other medications to treat active TB infection.
E. Since the sputum culture is positive for M. tuberculosis, airborne precautions are necessary to prevent the transmission of TB via airborne droplets. These precautions include wearing an N95 respirator mask and placing the client in a negative-pressure isolation room.
F. Pyrazinamide is part of the standard multidrug regimen used to treat TB. It works by killing the TB bacteria in different stages of their life cycle, helping to eradicate the infection more effectively.
G. Rifampin is another essential medication used in the treatment of TB. It works by inhibiting the synthesis of bacterial RNA, thereby killing the TB bacteria. Rifampin is usually given in combination with other TB medications to prevent drug resistance.
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