Author Question: The client is in the hospital with increased intracranial pressure (IICP). The nurse should question ... (Read 106 times)

kwoodring · **on:** Jun 25, 2018

The client is in the hospital with increased intracranial pressure (IICP). The nurse should question which order for this client?

1. Mannitol
2. 10 dextrose with electrolytes
3. Lactated Ringer's solution
4. Loop diuretics

Question 2

A client recovering from bone flap removal is scheduled for further surgery. The nurse should anticipate which surgery for this client?

1. Burr hole
2. Craniotomy
3. Cranioplasty
4. Craniectomy

rosiehomeworddo · **Reply #1 on:** Jun 25, 2018

Answer to Question 1

Answer: 2

1. Mannitol is an osmotic diuretic and is appropriate for a client with IICP.
2. 10 dextrose can cross the blood-brain barrier and cause rising pressures.
3. Lactated Ringer's is a solution that does not cross the blood-brain barrier and is appropriate for the client with IICP.
4. Loop diuretics are appropriate for the client with IICP.

Answer to Question 2

Answer: 3

1. A burr hole is a hole drilled into the scalp to relieve pressure or remove a clot.
2. A craniotomy is surgery to remove a part of the skull to remove a tumor, and the flap is replaced in the same surgery.
3. Cranioplasty is surgery that inserts a metal plate or other material to take the place of the bone flap that was previously removed.
4. Craniectomy is the removal of a bone flap to provide relief from pressure.