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    NU335 proctored exam(adult healthmed surg exam (renal) exemplify

    A patient who is suspected of having an epidural hematoma is admitted to the emergency department. Which action will the nurse plan to take?

    Explanation & Rationale

    A. Initiate high-dose barbiturate therapy: High-dose barbiturates are sometimes used to reduce cerebral metabolic demand in cases of refractory increased intracranial pressure, but they do not treat the underlying cause of an epidural hematoma. This intervention is not the initial priority. B. Prepare patient for immediate craniotomy: Epidural hematomas are often caused by arterial bleeding, leading to rapidly increasing intracranial pressure and potential brain herniation. Surgical evacuation via craniotomy is the definitive treatment and must be performed emergently to prevent permanent neurologic damage or death. Prompt preparation for surgery is the priority. C. Type and cross-match for blood transfusion: While blood may be needed in some trauma cases, transfusion is not the primary intervention for an epidural hematoma. The immediate focus is surgical evacuation to relieve pressure on the brain. D. Administer IV furosemide: Furosemide is a diuretic that can be used to manage fluid overload or reduce ICP in certain situations, but it does not address the acute mass effect of an epidural hematoma. It is not indicated as an emergent treatment in this context.

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