A nurse is educating a group of nursing students about brain herniation.
Which of the following interventions should the nurse include as a potential treatment for brain herniation?

Hyperventilate the patient.

Decrease sedation.

Reduce the temperature in the room.

Lower blood pressure.

Answer and Explanation

The Correct Answer is A

Choice A rationale

Hyperventilation is a potential treatment for brain herniation. Hyperventilation causes a decrease in carbon dioxide levels in the blood, leading to vasoconstriction of the cerebral blood vessels. This reduces cerebral blood flow and decreases intracranial pressure, which can help in the management of brain herniation.

Choice B rationale

Decreasing sedation is not typically a treatment for brain herniation. Sedation can be used in the management of increased intracranial pressure, but it is not a direct treatment for brain herniation.

Choice C rationale

Reducing the temperature in the room is not a direct treatment for brain herniation. While temperature control is important in the overall management of a patient with brain injury, it does not directly treat brain herniation.

Choice D rationale

Lowering blood pressure is not a direct treatment for brain herniation. While maintaining optimal blood pressure is important in the management of brain injury, aggressive lowering of blood pressure is not typically done as it could compromise cerebral perfusion.

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Correct Answer is A

Explanation

Choice A rationale

The statement “Do you think you could keep him in the nursery for the next feeding so I can get some sleep?” indicates that the mother may be experiencing inhibited parental attachment.

After childbirth, it is normal for a new mother to feel tired and need rest. However, consistently preferring to have the baby cared for in the nursery rather than spending time bonding may suggest inhibited parental attachment.

Choice B rationale

The statement “I don’t need a baby bath demonstration. I know how to do it.”. suggests that the mother is confident in her ability to care for her baby, which is a positive sign of parental attachment. It shows that she is prepared and willing to take on the responsibilities of parenthood.

Choice C rationale

The statement “I wish he had more hair. I will keep a hat on his head until he grows some.”. may indicate a slight disappointment in the baby’s appearance but does not necessarily indicate inhibited parental attachment. It’s common for parents to have certain expectations or hopes about their baby’s appearance.

Choice D rationale

The statement “He’s got my husband’s nose, that’s for sure.”. indicates that the mother is observing and commenting on the baby’s features, which is a positive sign of parental

attachment. Recognizing familial features helps in bonding and forming an attachment with the baby.

A. Water heater temperature 54.4°C (130 F). B. Electric cords behind the furniture. C. Throw rugs. D. Raised toilet seats. E. Bathtub with rails.

Correct Answer is A

Explanation

Choice A rationale

A water heater temperature of 54.4°C (130°F) is a safety risk because it can cause burns. Older adults have thinner skin and are more susceptible to burns.

Choice B rationale

Electric cords behind furniture can be a safety risk because they can cause tripping or fire if the cords are damaged.

Choice C rationale

Throw rugs are a safety risk because they can slide underfoot and cause falls, especially in older adults who may have balance issues.

Choice D rationale

Raised toilet seats are not a safety risk. In fact, they are often recommended for older adults to prevent falls in the bathroom.

Choice E rationale

A bathtub with rails is not a safety risk. Rails can provide support and prevent falls when the older adult is entering or exiting the bathtub.

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A nurse is educating a group of nursing students about brain herniation.Which of the following interventions should the nurse include as a potential treatment for brain herniation?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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A nurse is educating a group of nursing students about brain herniation.
Which of the following interventions should the nurse include as a potential treatment for brain herniation?