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HESI RN Med Surg 3 Questions

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Question 1 of 5

The client is a 43-year-old male who had a surgical removal of a benign tumor from the left hemisphere of his brain. The client's estimated blood loss (EBL) is 100 mL during surgical procedure. There were no complications. Vital signs remained stable throughout the procedure. The client will be admitted to the neurological intensive care unit for monitoring. Complete the diagram by specifying which condition the client is most likely experiencing, two actions the nurse should take to address that condition, and two parameters the nurse should monitor to assess the client's progress.

Actions to Take Choices A. Prepare the client to return to surgery B. Give ibuprofen as ordered C. Place the call light within the client's reach D. Elevate the head of the bed to 45 degrees E. Use a word board to help the client communicate
Potential Conditions Choices A. Myasthenia gravis B. Cushing response C. Hydrocephalus D. Broca aphasia
Parameters to Monitor Choices A. White blood cell count B. Cerebral perfusion pressure C. Pupil response D. Level of consciousness E. Deep tendon reflexes

Correct Answer: D,E,F,D,E

Rationale: Surgery in the left hemisphere may cause Broca aphasia. Ensuring call light access and using a word board aid communication. Monitoring cerebral perfusion pressure and level of consciousness detects complications.

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