After receiving pre procedural instructions, which patient statement demonstrates an understanding of a scheduled ventriculostomy?

"I won't be able to have drugs instill through this procedure."

"I will have an internal transducer inserted into my head."

"The healthcare provider won't be able to get samples of my cerebrospinal fluid."

"It will directly measure the pressure within the ventricles of my brain."

Answer and Explanation

The Correct Answer is D

A.   A ventriculostomy involves inserting a catheter into the ventricles of the brain to monitor ICP, not a procedure for instilling drugs.
B.   A ventriculostomy involves the insertion of a catheter to monitor ICP, not an internal transducer.
C.   Cerebrospinal fluid (CSF) samples can be taken via ventriculostomy; the procedure does not prevent this.
D.   A ventriculostomy measures the pressure within the brain’s ventricles to monitor intracranial
pressure, which is the correct understanding.

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Correct Answer is D

Explanation

A. Lymphocytes typically increase in viral meningitis, not bacterial.
B. In bacterial meningitis, protein levels are typically elevated due to the inflammatory process.
C. Neutrophils would be elevated in bacterial meningitis, as they are the body's primary defense against bacterial infections.
D. A decrease in glucose levels is characteristic of bacterial meningitis due to the consumption of glucose by the bacteria and the inflammatory response.

A. Place the client in a supine position. B. Use log rolling to reposition the client. C. Instruct the client to cough and deep breathe. D. Place a warming blanket on the client.

Correct Answer is B

Explanation

A. Placing the client in a supine position may increase ICP; the nurse should elevate the head of the bed to 30 degrees to reduce pressure.
B. Log rolling to reposition the client helps maintain spinal alignment and prevent further injury without increasing ICP.
C. Coughing and deep breathing should be avoided as they can increase ICP.
D. A warming blanket could cause vasodilation and worsen ICP.

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After receiving pre procedural instructions, which patient statement demonstrates an understanding of a scheduled ventriculostomy?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Which laboratory result would the nurse anticipate when reviewing the cerebrospinal fluid analysis of a patient with bacterial meningitis?

Correct Answer is D

Explanation

A nurse is caring for a client who has increased intracranial pressure (ICP) following a closed- head injury. Which of the following actions should the nurse take?

Correct Answer is B

Explanation

A nurse observes a patient whose right eye is fixed and dilated, for which cranial nerve (CN) would the nurse suspect nerve compression?

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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?

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