Increased icp - Study guides, Class notes & Summaries

Med Surg II Exam 4, Fortis Med/surg 2 exam 4 with Complete Solution 2023 which patient in the progressive care unit would the nurse be most concered about? {{Ans:- a patient prescribed tPA or IV heparin that has the opportunity to bleed out which patient on ventilator weaning should the nurse be most concerned about? {{Ans:- -the pt who has recently been extubated with a decreased urinary output what to do for a patient with a subarachnoid hemorrhage and ICP? {{Ans:- -check for JV...

ICP Nclex Questions, ICP NCLEX style Questions, ICP Nclex Questions The nurse notes that a patient with a head injury has a clear nasal drainage. The most appropriate nursing action for this finding is to a. obtain a specimen of the fluid and send for culture and sensitivity. b. take the patient's temperature to determine whether a fever is present. c. check the nasal drainage for glucose with a Dextrostik or Testape. d. have the patient to blow the nose and then check the nares fo...

RN Adult Medical Surgical Online Practice 2023 1.A home health nurse is assigned to a client who was recently discharged from a rehabilitation center after experiencing a right-hemispheric stroke. Which of the following neurologic deficits should the nurse expect to find when assessing the client? ( select all that apply) Visual spatial deficits Left hemianopsia ( blindness in the left half of the visual field) One-sided neglect 2.A nurse is reviewing the health record of a client who is ...

A client presents with a headache and complaining of vision difficulties. Which cranial nerve might be defective in this client? A) VIII (Vestibulocochlear) B) VII (Facial) C) XI (Accessory) D) III (Oculomotor) Answer: D A client presents to the ED with loss of consciousness. The RN evaluates the client using the Glasgow Coma Scale. The results are as follows: Eyes open to speech Abnormal flexion of extremities Use of inappropriate words What would the RN estimate this clie...

1. Select the main structures below that play a role with altering intracranial pressure: A. Brain B. Neurons C. Cerebrospinal Fluid D. Blood E. Periosteum F. Dura mater - The answers are A, C, and D. Inside the skull are three structures that can alter intracranial pressure. They are the brain, cerebrospinal fluid (CSF), and blood. 2. The Monro-Kellie hypothesis explains the compensatory relationship among the structures in the skull that play a role with intracranial pressure. Which o...

NSG 3280 EXAM 3 EXAM WITH ACTUAL QUESTIONS AND COMPLETE 100%CORRECT ANSWERS WITH VERIFIED AND WELL EXPLAINED RATIONALES ALREADY GRADED A+ BY EXPERTS |LATEST VERSION 2024 WITH GUARANTEED SUCCESS AFTER DOWNLOAD ALREADY PASSED!!!!!!! (PROVEN ITS ALL YOU NEED TO EXCEL IN YOUR EXAM The three compartments of the cranium include: Brain tissue, CSF, and blood The normal range of ICP is 0-15mm Hg If one of the compartments in the cranium increases, what happen to the other two parts? they decreas...

MDC 4 Exam 1 Rasmussen University Questions and Answers 100% Solved Which Migraine medications cannot be used in a patient with cardiac diseases and why? Triptans and Ergotamine preparations- they will cause additional vasoconstriction of the head blood vessels What does abortive therapy do for migraines? alleviate pain after the headache starts What does preventative therapy do for migraines? prevent a headache is it occurs more than twice a week or is severe. A patient is taking beta block...

The nurse is caring for a patient with increased intracranial pressure (ICP). Which action would be considered to be a collaborative intervention? a. Decreasing perfusion b. Administering an osmotic diuretic c. Assessing orientation d. Assessing for edema correct answer: ANS: B Which assessment finding would be the earliest and most sensitive indicator that there is an alteration in intracranial regulation? a. Change in level of consciousness b. Inability to focus visually c. Loss o...

Nur 265 Literally Exam 3. (Answered) Complete Solution The nurse is working in the emergency department (ED) is admitting a client who has sustained a traumatic brain injury (TBI) following a motor vehicle crash. It is priority for the nurse to notify the primary healthcare provider (PHCP) in the client: Takes prescribed warfarin daily. RATIONALE: Pg. 2400. Hemorrhage may occur as part of the primary injury and begin at the moment of impact. Warfarin is a blood thinner and the patient...

Lewis Ch. 56 Acute Increased ICP Graded A+ 1. Family members of a patient who has a traumatic brain injury ask the nurse about the purpose of the ventriculostomy system being used for intracranial pressure monitoring. Which response by the nurse is best for this situation? a. "This type of monitoring system is complex and it is managed by skilled staff." b. "The monitoring system helps show whether blood flow to the brain is adequate." c. "The ventriculostomy monitoring syste...