Increased icp - Study guides, Class notes & Summaries

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...

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 bones of the skull form a rigid cranial compartment that contains: brain tissue (80%) CSF (10%) blood volume (10%) the pressure of _____ must remain _____ to maintain a normal _____ brain tissues, CSF, and blood volume; balanced; intracranial pressure (ICP) intracranial pressure (ICP) the pressure inside the skull, brain tissue, and CSF normal ICP for a resting, supine adult 5-15 mmHg what causes change in ICP? volume changes in: brain tissue cerebral blood flow ...

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...

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...

Comp #1 Spinal Cord Injury/Surgery/Procedure - Expected finding: o Decreased reflexes o Numbness/tingling o Inability to urinate (from low spinal cord injury) - Not Expected: o Decreased RR. o Headache (increased ICP) o CSF halo (yellow fluid) - Post-Op: o Airway, circulation o Monitor for ICP, Neuro checks, VS closely - Complication: o Autonomic Dysreflexia. S/S:  Numbness & tingling (expected)  Severe hypotension  Cessation of breathing (not expected). Heparin/Enoxaparin (LMWH) - Anti...

ATI MED SURG PROCTORED EXIT EXAM( 2 DIFFERENT VERSIONS ) 1. A nurse is caring for a client who is postoperative following a tracheostomy, and has copious and tenacious secretions. Which of the following is an acceptable method for thenurse to use to thin this client's secretions? 1) Provide humidified oxygen. → want to hyperoxygenate prior to suction 2) Perform chest physiotherapy prior to suctioning. 3) Prelubricate the suction catheter tip with sterile saline when suctioning the airway...

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...

1. A A. Dextrose 5% in water Rationale: TPN contains high concentrations of certain nutrients. Infusing dextrose 5% in water could cause rapid shifts in serum levels of some substances. B. 0.9% sodium chloride Rationale: TPN contains high concentrations of certain nutrients. Infusing 0.9% sodium chloride could cause rapid shifts in serum levels of some substances. C. Dextrose 10% in water Rationale: TPN contains high concentrations of dextrose and proteins. To avoid hypoglycemia, t...

RN HESI EXIT EXAM VERSIONS V1, V2, V3, V4, V5, V6, V7, V8, V9 & V10 (ALL 1580 QUESTIONS) (160 X 10VS QUESTIONS & ANSWERS KEY|ACTUAL/REAL/AUTHENTIC|GUARANTEE A+ SCORE| 2023/2024 All Questions In All Version 1-10 Have Correct Answers (ANSWERS KEY) -Only First Five (5) Questions are Highlighted in DEvery Version, So that you Can Rate Yourself with the Remaining Questions that are not highlighted -Verify Your Answers with (ANSWERS KEYS) Multiple choices 1. The nurse is completing the admission asses...