Following a Craniotomy with a Craniectomy and Left Anterior Fossa

question 12

Multiple Choice

Following a craniotomy with a craniectomy and left anterior fossa incision,the patient has a nursing diagnosis of ineffective protection related to decreased level of consciousness and weakness.What does an appropriate nursing intervention for the patient include?

• A) Assessing for changes in motor ability daily
• B) Performing range-of-motion exercises every 4 hours
• C) Turning and repositioning the patient side to side every 4 hours
• D) Eliminating extraneous noise to prevent sensory overload

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