A nurse is teaching a newly licensed nurse about the risk factors for subarachnoid hemorrhage (SAH). What should the nurse include in the teaching?

Parkinson’s disease

Alzheimer’s disease

Being male

Marfan’s syndrome .

Answer and Explanation

The Correct Answer is D

Choice A rationale
Parkinson’s disease is a neurodegenerative disorder that affects movement, but it is not a known risk factor for subarachnoid hemorrhage (SAH)10111213.
Choice B rationale
Alzheimer’s disease is a type of dementia that affects memory, thinking, and behavior, but it is not a known risk factor for SAH10111213.
Choice C rationale

Being male is not a specific risk factor for SAH. Both men and women can be affected by this condition.
Choice D rationale
Marfan’s syndrome is a genetic disorder that affects the body’s connective tissue. People with Marfan’s syndrome have a higher risk of developing aneurysms, including those in the brain, which can lead to SAH10111213. Cerebral edemaCerebral edema Explore

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Correct Answer is A

Explanation

Choice A rationale
A traumatic brain injury (TBI) can indeed disrupt cellular function and cause blood vessel damage. This can lead to a range of potential effects, from temporary changes in brain function to long-term complications or even death.
Choice B rationale
Damage to brain tissue from decreased pressure shock waves is not typically associated with TBI. This type of injury is more commonly associated with blast injuries, such as those caused by explosions.
Choice C rationale
While increased blood supply and edema (swelling) can occur in the area of a brain injury, they are typically responses to the injury rather than direct consequences of the TBI itself. These processes can contribute to further damage and complications.
Choice D rationale
A TBI does not typically lead to increased synaptic connections. In fact, the injury can cause loss of neurons and synapses, which can lead to long-term cognitive and functional impairments.

A. Pulmonary embolus B. Bacterial translocation C. Deep vein thrombosis D. Myocardial infarction

Correct Answer is B

Explanation

Choice A rationale
Pulmonary embolus is a serious condition that can occur due to prolonged immobility, but it is not directly related to the timing of enteral nutrition in a client with increased intracranial pressure.

Choice B rationale
Bacterial translocation refers to the migration of bacteria from the gut to other areas of the body. Early enteral nutrition (within 24 to 48 hours) in critically ill patients can help maintain the integrity of the gut mucosa and prevent bacterial translocation. Therefore, starting enteral nutrition within this timeframe can help prevent bacterial translocation.
Choice C rationale
Deep vein thrombosis, like pulmonary embolus, is a risk due to immobility but is not directly related to the timing of enteral nutrition.
Choice D rationale
Myocardial infarction is a cardiac event that could be related to overall cardiovascular health, stress, or specific injury to the cardiac muscle. It is not directly prevented by the initiation of enteral nutrition.

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A nurse is teaching a newly licensed nurse about the risk factors for subarachnoid hemorrhage (SAH). What should the nurse include in the teaching?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who has a traumatic brain injury (TBI). Which of the following should the nurse understand is a possible consequence of a TBI?

Correct Answer is A

Explanation

A nurse is planning care for a client who has increased intracranial pressure. The nurse should understand that enteral nutrition should begin within 24 to 48 hr to help prevent which of the following complications?

Correct Answer is B

Explanation

A nurse is caring for a client who has a traumatic brain injury and is being mechanically ventilated. Which of the following can cause unfavorable outcomes for this client?

A nurse is educating a group of high school students about the damage caused by penetrating traumatic brain injuries. Which statement should the nurse include in the teaching?

A nurse is caring for a client who has had a traumatic fall. Which of the following interventions should the nurse implement first?

A nurse is caring for a patient who was involved in a motor vehicle accident.The patient is alert and oriented and reports a loss of consciousness immediately after the accident. Which of the following additional symptoms should the nurse assess the patient for? (Select All that Apply.)

A nurse is caring for a client who has a traumatic brain injury (TBI). Which of the following secondary conditions should the nurse anticipate the client might develop?

A nurse is admitting a patient with a subarachnoid hemorrhage and expects to administer which of the following medications to decrease intracranial pressure (ICP)?

A patient with a history of migraines comes into the clinic reporting “tingling of the face and blind spots in the eyes.”. Which of the following phases of a migraine is the patient experiencing?

A nurse is caring for a client who has chronic migraine headaches. The client asks if they had a cerebral aneurysm, which of the following responses should the nurse use?