After performing an assessment of the oculocephalic reflex, the nurse suspects that the patient has an intracranial lesion. Which patient behavior supports the nurse's assessment findings?

Movement of the eye in the sideward direction occurs, with neck extension

When flexing the neck, eye movement is in the upward direction

Movement of the eye is in the opposite direction of the turned head

When extending the neck, eye movement is in the downward direction

Answer and Explanation

The Correct Answer is C

A.   The oculocephalic reflex test should cause the eyes to move in the opposite direction to the head turn, indicating intact brainstem function.
B.   Movement of the eyes in an upward direction upon neck flexion indicates an abnormal response, suggesting a lesion.
C.   A lesion could result in abnormal eye movement, as the eyes should move opposite to head movement.
D.   Eye movement in the downward direction during neck extension is not a normal response and suggests a brainstem issue.

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Correct Answer is C

Explanation

A. Nicardipine is a calcium channel blocker used for blood pressure management, not for decreasing ICP.
B. Dopamine is used for shock or hypotension but does not address ICP.
C. Mannitol is an osmotic diuretic used to decrease ICP by drawing fluid out of the brain and reducing swelling.
D. Phenytoin is an anticonvulsant used to prevent seizures, but it does not directly affect ICP.

A. Strabismus B. Hordeolum C. Blepharitis D. Conjunctivitis

Correct Answer is B

Explanation

A. Strabismus refers to misalignment of the eyes, not an infection.
B. A hordeolum, also known as a stye, is an infection of a sebaceous gland, presenting as a painful, red nodule near the eyelid margin.
C. Blepharitis refers to inflammation of the eyelid and would present with redness or flaking, not a white nodule.
D. Conjunctivitis is inflammation of the conjunctiva, not an infection of a sebaceous gland.

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After performing an assessment of the oculocephalic reflex, the nurse suspects that the patient has an intracranial lesion. Which patient behavior supports the nurse's assessment findings?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is C

Explanation

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Correct Answer is B

Explanation

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