The nurse is caring for a client with a head injury. Which of the following findings should be reported rapidly to the health care provider?
A)Urine output of 800 mL in the last hour
B)Intracranial pressure of 16 mm Hg when client is turned
C)Ventriculostomy drains 10 mL of cerebro-spinal fluid per hour
D)LICOX brain tissue oxygenation catheter shows PbtO2 of 38 mm Hg.

Question

Quizplus · Accepted Answer

The high urine output indicates that diabetes insipidus may be developing and interventions to prevent dehydration need to be rapidly implemented. The other data do not indicate a need for any change in therapy.

The Nurse Is Caring for a Client with a Head