A patient with possible viral meningitis is admitted to the nursing unit after lumbar puncture was performed in the emergency department. Which action prescribed by the health care provider should the nurse question?
a. Elevate the head of the bed 20 degrees.
b. Restrict oral fluids to 1000 mL daily.
c. Administer ceftriaxone (Rocephin) 1 g IV every 12 hours.
d. Give ibuprofen (Motrin) 400 mg every 6 hours as needed for headache.
Question 2A patient being admitted with bacterial meningitis has a temperature of 102.5 F (39.2 C) and a severe headache. Which order for collaborative intervention should the nurse implement first?
a. Administer ceftizoxime (Cefizox) 1 g IV.
b. Give acetaminophen (Tylenol) 650 mg PO.
c. Use a cooling blanket to lower tempera-ture.
d. Swab the nasopharyngeal mucosa for cul-tures.
Question 3Which finding for a patient who has a head injury should the nurse report immediately to the health care provider?
a. Intracranial pressure is 16 mm Hg when patient is turned.
b. Pale yellow urine output is 1200 mL over the last 2 hours.
c. LICOX brain tissue oxygenation catheter shows PbtO2 of 38 mm Hg.
d. Ventriculostomy drained 40 mL of cere-brospinal fluid in the last 2 hours.
Question 4When admitting a 42-year-old patient with a possible brain injury after a car accident to the emergency department (ED), the nurse obtains the following information. Which finding is most important to report to the health care provider?
a. The patient takes warfarin (Coumadin) daily.
b. The patient's blood pressure is 162/94 mm Hg.
c. The patient is unable to remember the ac-cident.
d. The patient complains of a severe dull headache.
Question 5Which information about a 30-year-old patient who is hospitalized after a traumatic brain injury requires the most rapid action by the nurse?
a. Intracranial pressure of 15 mm Hg
b. Cerebrospinal fluid (CSF) drainage of 25 mL/hour
c. Pressure of oxygen in brain tissue (PbtO2) is 14 mm Hg
d. Cardiac monitor shows sinus tachycardia at 128 beats/minute
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