Assessment of the Patient Undergoing Intracranial Surgery would include:
Careful, frequent monitoring of respiratory function, including blood gases
Monitor for signs and symptoms of complications
Monitor fluid status and laboratory data
All of the above
The Correct Answer is D
Choice A: Careful, frequent monitoring of respiratory function, including blood gases is correct, as it can detect and prevent hypoxia, hypercapnia, and acid-base imbalance that can affect the brain and other organs.
Choice B: Monitor for signs and symptoms of complications is correct, as it can identify and treat potential problems such as hemorrhage, infection, seizures, or increased intracranial pressure.
Choice C: Monitor fluid status and laboratory data is correct, as it can maintain fluid and electrolyte balance and prevent dehydration, overhydration, or cerebral edema.
Choice D: All of the above is correct, as all of these assessments are important for the patient undergoing intracranial surgery.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A: Progressive weakness and atrophy of muscle is a manifestation of ALS, as it results from the loss of motor
neurons that control voluntary muscle movements²³.
Choice B: Cramps, twitching, and lack of coordination is a manifestation of ALS, as it results from the abnormal activity of motor neurons that are still functioning²³.
Choice C: Spasticity, deep tendon reflexes brisk, and overactive is a manifestation of ALS, as it results from the damage to the upper motor neurons that regulate muscle tone²³.
Choice D: Difficulty speaking, swallowing, breathing is a manifestation of ALS, as it results from the involvement of the muscles in the mouth, throat, and chest²³.
Choice E: All of the above is correct, as all of these manifestations are common in ALS.
Correct Answer is A
Explanation
Choice A: Respiratory status is the first priority, as it can affect the oxygenation and perfusion of the brain and other vital organs. The nurse should assess the rate, rhythm, depth, and quality of breathing, as well as the use of accessory muscles, chest expansion, and lung sounds.
Choice B: Alertness is not the first priority, but rather a component of the level of consciousness. The nurse should assess the patient's ability to open their eyes spontaneously or in response to stimuli, as well as their orientation to person, place, time, and situation.
Choice C: Motor response is not the first priority, but rather a component of the level of consciousness. The nurse should assess the patient's ability to move their limbs voluntarily or in response to stimuli, as well as their muscle strength, tone, and coordination.
Choice D: Verbal response is not the first priority, but rather a component of the level of consciousness. The nurse should assess the patient's ability to speak clearly and coherently, as well as their content and appropriateness of speech.
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