第九章 控 制资料讲解.pptVIP

;A patient was admitted to the hospital for a shunt placement to divert fluid that had been building up in her cranial vault(颅顶). Her past history included a shunt insertion 6 months ago. She had surgery and was 2 days postop. She required neurological assessments to be performed at the onset of every shift and whenever necessary as indicated by a change in the pt.’s condition. The night nurse assessed the pt. at the beginning of her shift, noting that the pt.’s neurological status was fully intact. During the night, the nurse periodically checked on the pt. every 2 hours but did not awaken