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NCLEX QUESTION
OF THE WEEK
A nurse is caring for a client who experienced a traumatic head injury and has an intraventricular catheter (ventriculostomy) for ICP monitoring. The nurse should monitor the client for which of the following complications related to the ventriculostomy?
A) Headache
B) Infection
C) Aphasia
D) Hypertension
answer:
A) The nurse should monitor the client who has increased ICP for a headache, but a headache does not indicate a complication directly related to the ventriculostomy.
B) CORRECT: The nurse should monitor a client who has a ventriculostomy for infection, which is a complication. The nurse should use strict asepsis to avoid this life-threatening condition, which can cause meningitis.
C) The nurse should monitor a client who has increased ICP for aphasia related to the head injury, but this is not a complication directly related to the ventriculostomy.
D) The nurse should monitor a client who has increased ICP for hypertension, but this is not a complication directly related to the ventriculostomy.
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