hemorrhage (SAH). Which of the following should the -smoking
nurse understand are risk factors for SAH? -alcohol use disorder
A nurse is teaching a client who has had a subarachnoid The client may have hemiparesis and difficulty with speech
hemorrhage about changes to mobility, sensory
perception, perfusion, and cognition. Which of the
following information should the nurse include in the
teaching?
A nurse is caring for a client who has a neurologic injury Maintaining the airway
following a 10 foot fall. Which of the following actions
would be the highest priority?
A nurse is caring for a client who has increased Breathing patterns become irregular
intercranial pressure from a traumatic brain injury and a
Glasgow Coma Score of 10 on admission. Which of the
following manifestations indicate to the nurse a worsening
neurological injury is occurring?
, A nurse is explaining to a client's family about the Monro- Constriction of cerebral blood vessels when mean arterial pressure is high
Kellie doctrine and how the components within the
cranium change in relation to inter cranial pressure (ICP)
along with cerebral perfusion. Which of the following
processes of cerebral auto regulation maintains a client's
cerebral perfusion?
A nurse is caring for a client who has a subarachnoid -administration of antihypertensives
hemorrhage involving a ruptured aneurysm. Which of the -administration of nimodipine
following options should the nurse understand are -coiling or clipping of ruptured aneurysm
evidence-based guidelines to treat subarachnoid
hemorrhage and reduce the 1 year mortality rate?
A nurse is planning care for a client who has increased Hemorrhage
intracranial pressure (ICP). Which of the following should
the nurse understand is a cause of increased ICP?
A nurse is caring for a client who presents to the Check the fluid for beta-2 transferrin
emergency department after falling and hitting their head.
The nurse finds clear drainage from the client's ear and is
concerned about rhinorrhea. Which of the following
actions should the nurse perform?