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The Nurse Is Caring for a Patient Who Has a Head

Question 40

Multiple Choice

The nurse is caring for a patient who has a head injury. Which finding,when reported to the health care provider,should the nurse expect will result in new prescribed interventions?


A) Pale yellow urine output of 1200 mL over the past 2 hours.
B) Ventriculostomy drained 40 mL of fluid in the past 2 hours.
C) Intracranial pressure spikes to 16 mm Hg when patient is turned.
D) LICOX brain tissue oxygenation catheter shows PbtO2 of 38 mm Hg.

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