A patient with a TBI is experiencing increased Intracranial pressure. What position should the nurse place the patient?

Head elevated with neck midline

Supine with legs elevated

Trendelenburg position

Prone position

Answer and Explanation

The Correct Answer is A

A. Head elevated with neck midline: Elevating the head to 30 degrees and keeping the neck midline facilitates venous drainage from the brain and reduces ICP.

B. Supine with legs elevated: This position increases ICP by reducing venous return from the brain.

C. Trendelenburg position: This position exacerbates ICP by increasing blood flow to the brain.

D. Prone position: Lying prone increases ICP by obstructing venous outflow.

Nursing Test Bank

Quiz #1: RN Exams Pharmacology Exams Quiz #2: RN Exams Medical-Surgical Exams Quiz #3: RN Exams Fundamentals Exams Quiz #4: RN Exams Maternal-Newborn Exams Quiz #5: RN Exams Anatomy and Physiology Exams Quiz #6: RN Exams Obstetrics and Pediatrics Exams Quiz #7: RN Exams Fluid and Electrolytes Exams Quiz #8: RN Exams Community Health Exams Quiz #9: RN Exams Promoting Health across the lifespan Exams Quiz #10: RN Exams Multidimensional care Exams

Get 100+ Naxlex Exit Exams for $79 Try Naxlex NCLEX-RN (14 Day Free-Trial)

Naxlex Comprehensive Predictor Exams

Quiz #1: Naxlex RN Comprehensive online practice 2019 B with NGN Quiz #2: Naxlex RN Comprehensive Predictor 2023 Quiz #3: Naxlex RN Comprehensive Predictor 2023 Exit Exam A Quiz #4: Naxlex HESI Exit LPN Exam Quiz #5: Naxlex PN Comprehensive Predictor PN 2020 Quiz #6: Naxlex VATI PN Comprehensive Predictor 2020 Quiz #8: Naxlex PN Comprehensive Predictor 2023 - Exam 1 Quiz #10: Naxlex HESI PN Exit exam Quiz #11: Naxlex HESI PN EXIT Exam 2

Free Nursing Study Resources

Correct Answer is C

Explanation

A. Urinary output 25 mL/hr: While low urinary output suggests potential hypovolemia, it is less urgent than airway concerns.

B. Pain of 6 on a scale of 0 to 10: Pain management is important but does not take priority over airway issues.

C. Difficulty swallowing: Difficulty swallowing may indicate airway edema, which can rapidly progress to airway obstruction. This is a life-threatening emergency requiring immediate attention.

D. Heart rate 122/min: Tachycardia may indicate hypovolemia or stress but is not as critical as airway compromise.

A. A client who has a prescription for discharge B. A client who told an assistive personnel he is short of breath C. A client who is scheduled for an abdominal x-ray and is awaiting transport D. A client who received oral pain medication 30 min ago

Correct Answer is B

Explanation

A. A client who has a prescription for discharge: This client is stable and can wait. Discharge processes are not urgent compared to acute concerns.

B. A client who told an assistive personnel he is short of breath: Shortness of breath indicates a potential respiratory issue, which is life-threatening if not addressed promptly. This client requires immediate assessment and intervention.

C. A client who is scheduled for an abdominal x-ray and is awaiting transport: This task is routine and does not require immediate attention.

D. A client who received oral pain medication 30 min ago: This client’s pain is being managed and does not present an immediate threat to life.

View Question and Answer

Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.

Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today

A patient with a TBI is experiencing increased Intracranial pressure. What position should the nurse place the patient?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who has burns to his face, ears, and eyelids. The nurse should identify which of the following is the priority finding to report to the provider?

Correct Answer is C

Explanation

A nurse is prioritizing client care after receiving change-of-shift report. Which of the following clients should the nurse plan to see first?

Correct Answer is B

Explanation

Which signs and symptoms are NOT typically present in a patient with Cushing's? Select all that apply.

A nurse is assessing a client who has a pleural effusion. Which of the following findings should the nurse expect?

A nurse is conducting a primary survey of a client who has sustained life-threatening injuries due to a motor-vehicle crash. Identify the sequence of actions the nurse should take. (Move the actions into the box on the right, placing them in the selected order of performance. Use all the steps.)

A nurse is caring for a client who has severe burns. Exhibits Which of the following actions should the nurse take when caring for a client with severe burns? Select all that apply.

A client who has a history of myocardial infarction (MI) is prescribed aspirin 325 mg. The nurse recognizes that the aspirin is given due to which of the following actions of the medication?

A nurse is assisting with triaging clients following an explosion. Which of the following clients should the nurse identify as the highest priority?

A nurse in the emergency department is monitoring a client who has a cervical spinal cord injury from a fall. The nurse should monitor the client for which of the following complications? (Select all that apply.)

A sexual assault nurse examiner (SANE) is a caring for a client who experienced sexual assault. Which of the following actions should the nurse take?