A nurse is taking care of a client who has sustained a neurologic injury with increased intracranial pressure and decreased cerebral perfusion. Which of the following will keep cerebral perfusion pressure constant?

Regulation of constriction and dilation of blood vessels in the brain

Regulation of catecholamines circulating throughout the body

Regulation of the amount of carbon dioxide exhaled

Regulation of how much blood is pumped from the heart

Answer and Explanation

The Correct Answer is A

A.   The constriction and dilation of blood vessels in the brain helps maintain appropriate cerebral blood flow and cerebral perfusion pressure (CPP) despite fluctuations in blood pressure.
B.   Catecholamines regulate other systemic body functions, but they do not directly impact cerebral perfusion pressure.
C.   Carbon dioxide exhalation can affect blood flow, but the primary regulation of CPP is through blood vessel constriction and dilation.
D.   The amount of blood pumped from the heart can impact overall blood pressure but does not directly regulate cerebral perfusion pressure.

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Correct Answer is B

Explanation

A. Poor judgment: Poor judgment is more likely to be seen with a stroke in the right hemisphere.
B. Intellectual impairment: A stroke in the left hemisphere can cause cognitive and intellectual deficits, especially in language and reasoning.
C. Loss of depth perception: Loss of depth perception is typically seen with right-sided strokes, not left- sided.
D. Impaired sense of humor: This is more common in right-sided strokes affecting the emotional and social aspects of the brain.

A. Place food in the affected side of the mouth. B. Place the client with the head reclined back to facilitate swallowing. C. Encourage brief exercise before meals to promote appetite. D. Encourage the client to take small bites.

Correct Answer is D

Explanation

A. The nurse should instruct family members to place food on the unaffected side of the mouth to avoid choking or aspiration.
B. Reclining the head back can make swallowing more difficult. The client should be positioned upright to facilitate safe swallowing.
C. Exercise before meals may not be beneficial for a stroke patient with dysphagia.
D. Taking small bites helps reduce the risk of aspiration and choking and facilitates safer swallowing.

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A nurse is taking care of a client who has sustained a neurologic injury with increased intracranial pressure and decreased cerebral perfusion. Which of the following will keep cerebral perfusion pressure constant?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who had a stroke involving the left cerebral hemisphere. The nurse should monitor for which of the following findings?

Correct Answer is B

Explanation

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Correct Answer is D

Explanation

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