Patient data
Complete the diagram by dragging from the choices below to specify 1 potential condition the client is most likely experiencing, 2 actions the nurse would take to address that condition, and 2 parameters the nurse would monitor to assess the client's progress.
The Correct Answer is []
Cerebral edema is the most likely condition the client is experiencing based on the history of submersion, subsequent resuscitation, and the finding of brain edema noted on the head CT scan.
Implementing seizure precautions is essential because cerebral edema can increase the risk of seizures. Discontinuing the 0.9% sodium chloride solution IV infusion is necessary because hyponatremia (low serum sodium) is associated with cerebral edema, and reducing fluid intake can help manage cerebral edema.
Monitoring strict intake and output is crucial to assess the client's fluid balance and ensure that any changes in fluid status are promptly addressed. Monitoring neurologic status is vital for detecting any changes in consciousness, responsiveness, or neurological function, which could indicate worsening cerebral edema or neurological complications.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Instructing the client on the importance of notifying sexual partners is essential to prevent the spread of genital herpes and other sexually transmitted infections. Partner notification is crucial for their testing, treatment, and prevention of further transmission.
B. While it is true that cases of certain STIs are reportable to local health departments, focusing solely on reporting does not address the immediate concern of preventing transmission to sexual partners.
C. While partners without symptoms may not be infected, they could still be carriers of the virus and transmit it to others. It's important to emphasize the potential risk of transmission regardless of symptoms.
D. Counseling that most contraceptives protect against infection is inaccurate regarding STIs.
While contraceptives may prevent pregnancy, they do not provide protection against STIs like genital herpes. It's important to provide accurate information about STI prevention methods.
Correct Answer is A
Explanation
A. "I can only give medical information to your child because the client is an adult.": This
response respects the client's autonomy and confidentiality as an adult and upholds legal and ethical principles regarding patient privacy.
B. "I'm sorry, but your child's medical information is none of your business.": This response is dismissive and disrespectful, violating the client's right to privacy and confidentiality.
C. "The healthcare provider will share this information with you.": While healthcare providers may share information with family members if the client consents or if it's deemed necessary for the client's care, this response does not address the legal and ethical considerations regarding patient confidentiality and autonomy.
D. "I can give you those results as soon as I get them back from the lab.": This response does not address the issue of patient confidentiality and may inadvertently disclose sensitive medical information without the client's consent.
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