The charge nurse observes a novice nurse with a post-craniotomy client (hemorrhagic stroke). Which action requires intervention?

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Question 1 of 5

The charge nurse observes a novice nurse with a post-craniotomy client (hemorrhagic stroke). Which action requires intervention?

Correct Answer: B

Rationale: Routine suctioning (B) increases ICP; it should be as needed only.

Question 2 of 5

The nurse plans care for a client with ICP receiving 3% NaCl. What should be monitored?

Correct Answer: B

Rationale: 3% NaCl affects BP and sodium (B) to manage ICP and prevent hypernatremia.

Question 3 of 5

An appropriate outcome for expressive aphasia is?

Correct Answer: C

Rationale: Expressive aphasia clients use alternatives (C) like gestures.

Question 4 of 5

Post-concussion, which finding prompts a physician call?

Correct Answer: D

Rationale: Nasal discharge (D) may indicate CSF leak.

Question 5 of 5

Admission VS: BP 128/68, pulse 110, RR 26. Most concerning VS 1 hr later?

Correct Answer: A

Rationale: Cushing’s triad in A (HTN, bradycardia, low RR) signals ICP rise.

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