Orginal Questions—-The nurse admits Mrs. S to the ED. She was… X Chelsea vs Manchester <1

Orginal Questions—-The nurse admits Mrs. S to the ED. She was… X Chelsea vs Manchester <1 x (46,380 unread) - mathewo x *Course Hero X| +3/files/folder/Resources%20and%20Hand%20outs?preview=15985964 Download Page < > of 7 – ZOOM+ The nurse admits Mrs. S to the ED. She was found lying on the floor in the bathroom by a relativ… Show more… Show moreOrginal Questions—-The nurse admits Mrs. S to the ED. She was found lying on the floor in the bathroom by a relative. Initial vital signs include BP 110/60 mm Hg, HR 56 beats/min, RR 10 breaths/min, SpO2 93%; temperature 98.9 ° F.The patient is obtunded but moving all extremities to pain.  A. One hour later, the nurse assesses Mrs. Stanley to be unresponsive to voice and notes flexion posturing of the extremities. The nurse also notes the patient to be having 10 second periods of apnea.?1. Determine the client’s neurological status/Glasgow Coma Scale score.2.Determine whether the client had improved or declined3. What are the priority nursing interventions for this patient km?4. What treatments or interventions could improve this client’s Neuro status??  B. Thirty 30 minutes, the neuro-surgeon arrives  and places a right ventriculostomy. 1. Why was a Ventriculostomy drain inserted?2. Why do you think this client has increased ICP?3. How will a Ventriculostomy improve the client’s condition?4. What Intracranial Pressure Level should be the goal of the nurse caring for this client?5. What nursing interventions will help to reduce intracranial pressure?6. What symptoms would this client exhibit if she is improving?7. What symptoms would she exhibit if she is declining? C.Reflection time1. What have you learned about caring for a client who is found unresponsive? 2.  Why is it important for the nurse to determine whether the client is improving or declining? 3. In this scenario, which collaborative team members are needed?                Health Science Science Nursing COMPLEX CR 341 Share QuestionEmailCopy link Comments (0)

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