Author Question: After a craniotomy, the nurse assesses the client and finds dry, sticky mucous membranes and ... (Read 44 times)

NClaborn · **on:** Jun 25, 2018

After a craniotomy, the nurse assesses the client and finds dry, sticky mucous membranes and restlessness. The client has IV fluids running at 75 mL/hr. What action by the nurse is best?

a. Assess the client's magnesium level.
b. Assess the client's sodium level.
c. Increase the rate of the IV infusion.
d. Provide oral care every hour.

Question 2

A nurse assesses a client with the National Institutes of Health (NIH) Stroke Scale and determines the client's score to be 36. How should the nurse plan care for this client?

a. The client will need near-total care.
b. The client will need cuing only.
c. The client will need safety precautions.
d. The client will be discharged home.

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

Answer to Question 1

ANS: B
This client has manifestations of hypernatremia, which is a possible complication after craniotomy. The nurse should assess the client's serum sodium level. Magnesium level is not related. The nurse does not independently increase the rate of the IV infusion. Providing oral care is also a good option but does not take priority over assessing laboratory results.

Answer to Question 2

ANS: A
This client has severe neurologic deficits and will need near-total care. Safety precautions are important but do not give a full picture of the client's dependence. The client will need more than cuing to complete tasks. A home discharge may be possible, but this does not help the nurse plan care for a very dependent client.