Author Question: A client has meningitis following brain surgery. What comfort measures may the nurse delegate to the ... (Read 81 times)

tiffannnnyyyyyy · **on:** Jun 25, 2018

A client has meningitis following brain surgery. What comfort measures may the nurse delegate to the unlicensed assistive personnel (UAP)? (Select all that apply.)

a. Applying a cool washcloth to the head
b. Assisting the client to a position of comfort
c. Keeping voices soft and soothing
d. Maintaining low lighting in the room
e. Providing antipyretics for fever

Question 2

A nurse cares for older clients who have traumatic brain injury. What should the nurse understand about this population? (Select all that apply.)

a. Admission can overwhelm the coping mechanisms for older clients.
b. Alcohol is typically involved in most traumatic brain injuries for this age group.
c. These clients are more susceptible to systemic and wound infections.
d. Other medical conditions can complicate treatment for these clients.
e. Very few traumatic brain injuries occur in this age group.

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

Answer to Question 1

ANS: A, B, C, D
The client with meningitis often has high fever, pain, and some degree of confusion. Cool washcloths to the forehead are comforting and help with pain. Allowing the client to assume a position of comfort also helps manage pain. Keeping voices low and lights dimmed also helps convey caring in a nonthreatening manner. The nurse provides antipyretics for fever.

Answer to Question 2

ANS: A, C, D
Older clients often tolerate stress poorly, which includes being admitted to a hospital that is unfamiliar and noisy. Because of decreased protective mechanisms, they are more susceptible to both local and systemic infections. Other medical conditions can complicate their treatment and recovery. Alcohol is typically not related to traumatic brain injury in this population; such injury is most often from falls and motor vehicle crashes. The 65- to 76-year-old age group has the second highest rate of brain injuries compared to other age groups.