A nurse is admitting a patient with a subarachnoid hemorrhage and expects to administer which of the following medications to decrease intracranial pressure (ICP)?
Nicardipine
Dopamine
Mannitol
Phenytoin .
The Correct Answer is C
Choice A rationale
Nicardipine is a calcium channel blocker used to treat high blood pressure. While it can be used in the management of subarachnoid hemorrhage, it is not primarily used to decrease intracranial pressure.
Choice B rationale
Dopamine is a type of medication used to treat certain conditions such as low blood pressure, heart failure, and Parkinson’s disease. It is not typically used to decrease intracranial pressure in the context of a subarachnoid hemorrhage.
Choice C rationale
Mannitol is a type of medication that is used to decrease intracranial pressure. It works by drawing fluid out of the brain to help reduce swelling.
Choice D rationale
Phenytoin is a medication used to control seizures. While it can be used in the management of subarachnoid hemorrhage, it is not primarily used to decrease intracranial pressure. Migraine Explore
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Related Questions
Correct Answer is B
Explanation
Choice A rationale
Reducing the temperature in the room is not typically a treatment for brain herniation. While it’s important to maintain a comfortable environment for the patient, there’s no evidence to suggest that room temperature has a direct impact on the progression or treatment of brain herniation.
Choice B rationale
Hyperventilating the patient is a possible treatment for brain herniation. Hyperventilation causes vasoconstriction, which can decrease cerebral blood flow and intracranial pressure, potentially relieving the pressure caused by the herniation.
Choice C rationale
Lowering blood pressure is not typically a treatment for brain herniation. While maintaining a stable blood pressure is important in all patients, aggressively lowering blood pressure could potentially decrease cerebral perfusion and worsen the patient’s condition.
Choice D rationale
Decreasing sedation is not typically a treatment for brain herniation. In fact, sedatives might be used to reduce metabolic demands and control agitation in a patient with brain herniation.
Correct Answer is B
Explanation
Choice A rationale
Cancer pain is usually associated with the growth of a tumor or the side effects of cancer treatment. Phantom limb pain is not related to cancer.
Choice B rationale
Phantom limb pain is considered a type of neuropathic pain. This is because it is associated with nerve damage or malfunctioning nerves in the area where the limb was amputated.
Choice C rationale
Chronic pain is a broad term that refers to any pain that lasts for more than 12 weeks. While phantom limb pain can become chronic, this term does not specifically describe the type of pain experienced in phantom limb syndrome.
Choice D rationale
Acute pain is a type of pain that comes on suddenly and has a specific cause, usually related to tissue damage. Phantom limb pain is not considered acute pain because it is not related to new tissue damage.
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