Question

A nurse is monitoring the neurological status of a client who underwent craniotomy 3 days ago. Which signs or symptoms would prompt the nurse to notify the primary health care provider immediately?

a. Disorientation to date
b. Pupils equal and reactive at 4 mm
c. Mild headache relieved by acetaminophen with codeine
d. Pain with forward flexion of the neck onto the chest

Answer 1

Symptoms that may prompt immediate notification of the primary healthcare provider after a craniotomy include disorientation to date and pain with forward flexion of the neck onto the chest.

Step-by-step explanation:

Symptoms that would prompt the nurse to notify the primary healthcare provider immediately include:

1. Disorientation to date: This could indicate cognitive impairment and potential worsening neurological status.
2. Pain with forward flexion of the neck onto the chest: This could indicate irritation of the meninges and potential infection.

It is important to monitor the neurological status closely after a craniotomy to detect any complications early and prevent further harm.