The nurse is supervising the care of the patient who is alert but has increased intracranial pressure following head trauma. Which action by the unlicensed assistive personnel (UAP) prompts the nurse to intervene immediately?

Instructs the patient to use the legs to push up in bed. The nurse intervenes if the unlicensed assistive personnel (UAP) instructs the patient to use the legs to push up in bed, because this can induce the Valsalva maneuver and cause a transient but dangerous elevation in intracranial pressure. The UAP would be correct to strictly measure the patient’s urine output, ensure the patient’s sequential compression devices are in place while in bed, and utilize help to log roll the patient to place the fracture pan under the patient.

The nurse is supervising the care of the patient who is alert but...

NCLEX Practice
Categories
Management of Care
View Question

Category: Management of Care
Difficulty: 6

Topics: Delegation, Prioritization and Leadership Neurology

Want help? View the answer with rationale.

Additional Management of Care Questions

The patient is brought to the emergency room by her husband with slurred speech and facial drooping. Which question does the nurse ask first?

Question Type: Multiple Choice - Select One
Difficulty: 3

A nurse is teaching a student about Good Samaritan laws. Which statement is correct?

Question Type: Multiple Choice - Select One
Difficulty: 1

The nurse is compiling research to institute a new evidence-based practice regarding pressure injury prevention and finds a randomized controlled trial from a multi-site healthcare system on the west coast. Which level of evidence does the nurse assign to this source?

Question Type: Multiple Choice - Select One
Difficulty: 3

Show Calculator

Want help? View the answer with rationale.

Rationale

Additional Management of Care Questions

Nursing Careers

Nursing Degrees

NCLEX