ATI RN
ATI Nsg 234 Med Surg Exam Neurologyendocrine And Sensory Questions
Extract:
Question 1 of 5
The nurse is caring for a client who sustained a head injury in a motor vehicle accident and is diagnosed with a subdural hematoma and increased intracranial pressure. Which nursing intervention is appropriate for this client?
Correct Answer: D
Rationale: Implementing seizure precautions is critical as head injuries can lead to seizures, and ensuring the client's safety is a priority.
Question 2 of 5
A nurse is preparing to administer an IV osmotic diuretic to a client with increased intracranial pressure (ICP). Which of the following should the nurse identify as the purpose of the medication?
Correct Answer: A
Rationale: The primary purpose of administering an osmotic diuretic, such as mannitol, is to lower ICP by promoting diuresis, which results in increased urinary output and decreases fluid volume in the brain.
Question 3 of 5
A nurse is caring for a client who has increased intracranial pressure (ICP) following a closed-head injury. Which of the following positioning techniques should the nurse implement?
Correct Answer: C
Rationale: Log rolling helps maintain spinal alignment and minimizes abrupt head movement, which is essential in managing ICP.
Question 4 of 5
A nurse is caring for a client diagnosed with Addison's disease who is at risk for Addisonian crisis. The nurse is aware that which of the following is the priority assessment?
Correct Answer: B
Rationale: Monitoring for signs of shock is the priority, as Addisonian crisis can lead to severe hypotension and shock, which requires immediate intervention.
Question 5 of 5
A nurse is caring for a client who is demonstrating signs of increasing intracranial pressure (ICP). The nurse recognizes that which nursing actions are indicated to decrease ICP?
Correct Answer: A,C,D
Rationale: Elevating the head of the bed, maintaining a calm environment, and administering morphine sulfate help reduce ICP by facilitating venous drainage, minimizing stimulation, and controlling pain, respectively.