Ati ew n300 med surg final proctored exam
The nurse is caring for a patient in the Intensive Care Unit (ICU) with a ventriculostomy (Intraventricular Catheter) and an intracranial pressure (ICP) reading of 30mmHg. The nurse notes a widened pulse pressure, irregular respirations, and bradycardia. The neurosurgeon instructs the nurse to drain cerebrospinal fluid. The nurse would also anticipate which medication administration order from the provider?
Explanation & Rationale
A. Furosemide, a diuretic, can help reduce intracranial pressure by decreasing cerebrospinal fluid production and reducing cerebral edema. B. Norepinephrine is a vasopressor used to support blood pressure, not directly to lower ICP. C. 39% Normal Saline is not a standard concentration; hypertonic saline (3%) may be used but 39% is incorrect. D. Nitroprusside is a vasodilator used to lower blood pressure but can worsen ICP by increasing cerebral blood flow.
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