The nurse is teaching the client with Meniere’s disease about controlling symptoms through diet. Which of the following will the nurse emphasize? Select all that apply.

A bolus of mannitol (Osmitrol) is ordered for a client with increased intracranial pressure.  Prior to administration, the urinary output is 40 ml/hr; apical pulse 88; PEARL @3mm; the client is drowsy, but easily aroused.  Which assessment data will best determine the therapeutic effect of the medication?

The Charge nurse observes a fellow staff nurse acting erratically.  The clients assigned to the staff nurse don’t seem to get the relief when pain medications are administered. Which action will the charge nurse take?

Placing the client in the supine position, flexing the head towards the chest, eliciting flexion of the neck, what is the appropriate documentation for the client that displays adduction and flexion of the lower extremities?

The nurse is observing a client with cerebral edema for evidence of increasing intracranial pressure (IICP) and monitoring for the development of a widening pulse pressure. The current blood pressure is 170/80. What is the client’s pulse pressure? Please record your answer using a whole number.

The nurse is examining an unconscious client.  During the examination, the nurse notes that the client’s pupils are fixed and dilated.  What is the clinical significance of the nurse’s assessment?

A 74-year-old female client is brought into the clinic their spouse. The client has had periods of disorientation and weakness.  The admitting nurse assesses that this client is dressed appropriately but that the makeup on one side of their face is smeared, and their hair is combed on one side of their head only and only one of their shoes are tied.  What condition do these findings indicate?

The nurse explains to the client with a stroke who is scheduled for an angiogram that this test is used to determine which one of the following?

The nurse is assisting with a lumbar puncture and observes that when the physician obtains cerebrospinal fluid (CSF), it is clear and colorless.  What does this finding indicate?

A client with a subarachnoid hemorrhage secondary to ruptured cerebral aneurysm has been placed on aneurysm precautions.  To provide a safe environment, the nurse will implement which of the following interventions?  Select all that apply.