An ischemic stroke client in the ER has a blood pressure of…

An ischemic stroke client in the ER has a blood pressure of 179/92, pulse of 104, ICP of 22, and a respiratory rate of 23.  Calculate the cerebral perfusion pressure (CPP) and specify whether this is normal, high, or low. CPP value = This value indicates the CPP is in a/an level.

Due to a motor vehicle accident, the client sustained a trau…

Due to a motor vehicle accident, the client sustained a traumatic brain injury (TBI) and is intubated and sedated. An intraventricular catheter and external ventricular drain (EVD) were placed in the ICU, as well as a foley catheter. Which findings would warrant immediate action by the nurse?

A 47-year-old female client presents to the emergency depart…

A 47-year-old female client presents to the emergency department with a sudden onset headache. Nursing documentation:1000: The client reports headache pain that came on suddenly stating “it is the worst headache of my life”. Reports taking 650mg of Tylenol prior to coming into the emergency department with no relief. Currently rates her pain 9/10 on a 1-to-10 pain scale and is unable to fully extend her neck. The client is able to move all four extremities against gravity and resistance. She describes experiencing intermittent headaches accompanied by a few episodes of vomiting over the last week. The client has a history of hypertension, dyslipidemia, and a family history of cerebral aneurysms. She is a current smoker and admits to drinking “a few glasses of wine per day.” Vital signs: Temp 98.9, HR 110 (sinus tachycardia), BP 180/93, RR 19, O2 94% on RA

The nurse is caring for a 17-year-old male involved in a hou…

The nurse is caring for a 17-year-old male involved in a house fire who sustained 2nd and 3rd degree burns to the anterior and posterior aspects of both legs, the entire anterior chest and abdomen, and entire posterior back. Given the burn surface area sustained, determine the percentage of body surface area burned using the Rule of Nines.  %