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ISPN考试模拟试题(196)

Question:

A client with hydrocephalus reports having had a headache in the morning on arising for the last 3days,but it disappears later in the day.The nurse should:

1.Notify the physician.

2.Tell the client that this is normal because intracranial pressure (ICP) fluctuates throughout the day.

3.Instruct the client to increase fluid intake prior to going to bed to prevent headache in the morning.

4.Advise the client to request pain medication from the physician.

 

ICP is highest in the early morning,and the client with hydrocephalus may be experiencing signs of increased ICP that need to be treated.The increased ICP is not related to fluid levels,and the nurse should not advise the client to increase fluid intake.

While ICP does fluctuate during the day,it is highest in the morning,and the nurse should notify the physician.Pain medication will not treat the potentially increasing ICP and may mask important signs of increasing ICP.

CN:Physiological adaptation;CL:Synthesize
Answer:1

小编寄语:再长的路,一步步也能走完,再短的路,不迈开双脚也无法到达。

 
时间:2020/3/4 10:11:25
 
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