Question

The nurse is caring for a patient with a head injury who is receiving a 5 5w infusion at 100 ml/hr. what statement by the patient requires an immediate action by the nurse?

Answer 1

The nurse is caring for a patient with a head injury who is receiving a 5 5w infusion at 100 ml/hr. The statement by the patient that requires immediate action by the nurse is My headache is getting worse.

Why does this statement require immediate action?

A worsening headache could indicate cerebral edema. the hypotonic solution would increase fluid shifts into the cells, causing this to occur

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