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Author Question: The nurse is caring for a client with head trauma who has increased intracranial pressure (ICP). ... (Read 132 times)

tatyanajohnson

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The nurse is caring for a client with head trauma who has increased intracranial pressure (ICP). Which of the following is normal ICP?
 
  A) 2 to 10 mm Hg
  B) 4 to 13 mm Hg
  C) 5 to 15 mm Hg
  D) 6 to 18 mm Hg

Question 2

A nurse is providing short-term home care for an elderly client with depression. What should the nurse suggest that a caregiver do when taking respite from caring for the client?
 
  A) Participate in recreational activities every day.
  B) Eat a large breakfast with a smaller lunch and dinner.
  C) Avoid sleeping during the day or taking short naps.
  D) Instruct client's friends to avoid visits during home care.



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daiying98

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Answer to Question 1

B
Feedback:
Intracranial pressure (ICP) is the pressure that the brain, blood, and CSF exert inside the cerebrospinal cavity. Normally, ICP is 4 to 13 mm Hg. If one of the normal contents of the cranial or spinal cavity (e.g., brain tissue, blood, or CSF) increases in size, volume, or shape, pressure increases. This increase in pressure can cause the delicate structures to be moved, damaged, or destroyed.

Answer to Question 2

A
Feedback:
A nurse assisting a caregiver in taking respite from daily activities should assist the caregiver to plan and participate in recreational activities daily. This helps in managing stress from daily activities. A nurse should teach the caregiver to take small, frequent meals every day to maintain constant energy rather than suggesting that the caregiver eat a large breakfast with a smaller lunch and dinner. The caregiver should be told to relax and take naps at regular intervals to relieve the stress and strain of providing constant care for the client. The caregiver should avoid sleeping only during the night. A caregiver should encourage the client's friends or his or her own friends to visit their home, because it provides a break for the caregiver and also helps the client to overcome depression.





 

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