A client with a traumatic brain injury is agitated and fighting ...

[bobthebuilder]

A client with a traumatic brain injury is agitated and fighting the ventilator. What drug should the nurse prepare to administer?
 
  a. Carbamazepine (Tegretol)
  b. Dexmedetomidine (Precedex)
  c. Diazepam (Valium)
  d. Mannitol (Osmitrol)

Question 2

A client who had a severe traumatic brain injury is being discharged home, where the spouse will be a full-time caregiver. What statement by the spouse would lead the nurse to provide further education on home care?
 
  a. I know I can take care of all these needs by myself.
  b. I need to seek counseling because I am very angry.
  c. Hopefully things will improve gradually over time.
  d. With respite care and support, I think I can do this.

[micaelaswann]

Answer to Question 1

ANS: B
Dexmedetomidine is often used to manage agitation in the client with traumatic brain injury. Carbamazepine is an antiseizure drug. Diazepam is a benzodiazepine. Mannitol is an osmotic diuretic.

Answer to Question 2

ANS: A
This caregiver has unrealistic expectations about being able to do everything without help. Acknowledging anger and seeking counseling show a realistic outlook and plans for accomplishing goals. Hoping for improvement over time is also realistic, especially with the inclusion of the word hopefully. Realizing the importance of respite care and support also is a realistic outlook.

[bobthebuilder]

Thanks for the timely response, appreciate it

[kusterl]

Excellent