A nurse is contributing to the plan of care for a client who had a craniotomy. Which of the following interventions should the nurse include in the plan?

Apply a warm cloth over the client's eyes.

Place the client in a supine position.

Maintain seizure precautions.

Obtain a prescription for an opioid medication for pain.

Answer and Explanation

The Correct Answer is C

a. Apply a warm cloth over the client's eyes: This intervention is not typically indicated for a client who had a craniotomy. It is important to monitor for signs of increased intracranial pressure, but a warm cloth over the eyes is not a standard intervention.

b. Place the client in a supine position: The position of the client after a craniotomy will depend on the surgeon's preference. It is important to follow specific postoperative positioning

instructions, which may or may not include supine positioning.

c. Maintain seizure precautions: Seizure precautions are crucial for clients who have had a craniotomy, as they are at an increased risk of seizures postoperatively.

d. Obtain a prescription for an opioid medication for pain: Pain management is important, but opioid medications may be carefully titrated due to the potential for respiratory depression and other side effects. It is not the primary intervention in the immediate postoperative period.

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Correct Answer is B

Explanation

a. Ovarian cancer: While BRCA mutations are associated with an increased risk of ovarian cancer, the primary association is with breast cancer.

b. Breast cancer: Mutations in the BRCA-1 gene significantly increase the risk of developing breast cancer, especially at a younger age.

c. Alzheimer's disease: The BRCA-1 gene mutation is not associated with an increased risk of Alzheimer's disease.

d. Kidney disease: The BRCA-1 gene mutation is not associated with an increased risk of kidney disease.

A. Complete heart block B. Atrial fibrillation C. Sinus tachycardia D. First-degree AV block.

Correct Answer is B

Explanation

a. Complete heart block: Complete heart block would typically present with a regular ventricular rate, but with no association between P waves and QRS complexes.

b. Atrial fibrillation: Atrial fibrillation is characterized by the absence of identifiable P waves and an irregular ventricular rate. The atria fibrillate, leading to chaotic electrical activity and an irregular ventricular response.

c. Sinus tachycardia: Sinus tachycardia is characterized by a regular ventricular rate and identifiable P waves. It is not associated with the absence of P waves.

d. First-degree AV block: First-degree AV block is characterized by a prolonged PR interval, but it does not result in the absence of P waves. The relationship between P waves and QRS

complexes is maintained.

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A nurse is contributing to the plan of care for a client who had a craniotomy. Which of the following interventions should the nurse include in the plan?

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Naxlex Comprehensive Predictor Exams

client tells a nurse that she tested positive for a mutant BRCA-1 gene. The nurse should recognize that this finding increases the client's risk for which of the following conditions?

Correct Answer is B

Explanation

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Correct Answer is B

Explanation

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