A client with increased intracranial pressure has a cerebral perfusion pressure (CPP) of 40 mm Hg. This CPP reading is considered:

Low.

Inaccurate.

Within normal limits.

High.

Answer and Explanation

The Correct Answer is A

Choice A rationale

A cerebral perfusion pressure (CPP) of 40 mm Hg is considered low, as the normal range for CPP is typically between 60 and 80 mm Hg. Low CPP can lead to inadequate blood flow to the brain.

Choice B rationale

An accurate CPP reading is crucial for assessing intracranial pressure and cerebral blood flow. A reading of 40 mm Hg is not typically considered inaccurate.

Choice C rationale

A CPP of 40 mm Hg is not within normal limits, as it is significantly below the normal range.

Choice D rationale

A CPP of 40 mm Hg is not high; it is considered low and requires medical attention.

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Correct Answer is D

Explanation

Choice A rationale

Stupor refers to a state of near-unconsciousness or insensibility, where the patient can be briefly aroused by vigorous or repeated stimuli.

Choice B rationale

Somnolence refers to a state of strong desire for sleep or sleeping for unusually long periods (drowsiness), but it is not as severe as stupor or coma.

Choice C rationale

Normal consciousness means the patient is awake, alert, and responsive to their environment with no neurological deficits.

Choice D rationale

A score of 6 on the Glasgow Coma Scale indicates deep coma, where the patient has minimal to no response to stimuli, indicating severe brain injury.

A. Ligaments. B. Bones. C. Muscles. D. Joints.

Correct Answer is D

Explanation

Choice A rationale

Ligaments connect bones and stabilize joints. Age-related changes in ligaments result in decreased elasticity, leading to joint stiffness but not directly causing loss of height.

Choice B rationale

Bones undergo resorption and may lose density with age, leading to osteoporosis. While this contributes to height loss, it is not typically associated with diminished range of motion or flexibility as primary symptoms.

Choice C rationale

Muscles lose mass and strength with aging, a condition known as sarcopenia. This affects flexibility and range of motion but does not lead directly to height loss.

Choice D rationale

Joints are affected by age-related changes such as cartilage wear and synovial fluid reduction, leading to stiffness, loss of flexibility, diminished range of motion, and height loss due to spinal disc compression and vertebral changes.

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A client with increased intracranial pressure has a cerebral perfusion pressure (CPP) of 40 mm Hg. This CPP reading is considered:

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The critical care nurse is giving end-of-shift report on a client. The nurse uses the Glasgow Coma Scale (GCS) to assess the level of consciousness (LOC) of a female client and reports to the oncoming nurse that the client has an LOC of 6. What does an LOC score of 6 in a client indicate?

Correct Answer is D

Explanation

A client is exhibiting diminished range of motion, loss of flexibility, stiffness, and loss of height. The history and physical findings are associated with age-related changes of which area?

Correct Answer is D

Explanation

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