Answer: 8
Explanation: Just took it today and was right
Cerebrospinal fluid (CSF), clear, colourless liquid that fills and surrounds the brain and the spinal cord and provides a mechanical barrier against shock. Formed primarily in the ventricles of the brain, the cerebrospinal fluid supports the brain and provides lubrication between surrounding bones and the brain and spinal cord. When an individual suffers a head injury, the fluid acts as a cushion, dulling the force by distributing its impact. The fluid helps to maintain pressure within the cranium at a constant level.
https://www.britannica.com/science/cerebrospinal-fluid
A sign on the road, it could be multiple colors.
Solution :
Nursing the care plan
<u>Assessment</u>
To assess the respiratory rate, the depth, the abnormal breathing pattern.
Monitor the behavior of the patient and the mental status for the onset of the restlessness and confusion.
Observe for the nail beds and the cyanosis in the skin.
Monitor the oxygen saturation continuously with the help of a pulse oximeter.
<u>Nursing diagnosis</u>
Impaired the gas impaired exchanged related to the airway obstruction as a evidence by the restless and shortness of the breathing and confusion.
<u>Goals</u>
Improving the gas exchange and also improve the breathing pattern.
<u>Intervention</u>
Position the patient with his or her head elevated from the bed in a semi Flower's position.
<u>Evaluation </u>
The patient can breathe normally and then reduce the restlessness and the confusions.