A client has a traumatic brain injury and a positive halo sign. The client is in the intensive care unit, sedated and on a venti
lator, and is in critical but stable condition. What collaborative problem takes priority at this time? A. Inability to communicate.B. Nutritional deficit.C. Risk for acquiring an infection.D. Risk for skin breakdown.
The positive halo sign indicates a leak of cerebrospinal fluid. This places the client at high risk of acquiring an infection. Communication and nutrition are not priorities compared with preventing a brain infection. The client has a definite risk for a skin breakdown, but it is not the immediate danger a brain infection would be.
Out of the choices given, to ensure that Rachel properly applied all the necessary FITT principles to her plan, she needs to add more cardiovascular training to her exercise routine and eat several low-calorie meals throughout the day. The correct answer is A.
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