A Patient with a Severe Head Injury Has Been Maintained

question 2

Multiple Choice

A patient with a severe head injury has been maintained on IV fluids of 5% dextrose in water (D₅W) at 50 ml/hr for 3 days. The nurse will anticipate the need to

• A) continue the D₅W to provide the needed glucose for brain function.
• B) decrease the rate of IV infusion to avoid increasing cerebral edema.
• C) insert an enteral feeding tube to provide nutritional replacement.
• D) administer IV 5% albumin to increase serum protein levels.

---

Definitions:

Self-determination Theory

A theory of motivation that emphasizes the role of intrinsic motivation in driving human behavior and the importance of psychological needs for competence, autonomy, and relatedness.

Competence

The ability to do something successfully or efficiently, typically gained through experience or training.

Autonomy

The capacity to make an informed, uncoerced decision independently.

Hierarchy of Needs

A theory proposed by Abraham Maslow suggesting that people are motivated by five basic categories of needs: physiological, safety, love/belonging, esteem, and self-actualization, which must be fulfilled in sequence.