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 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.

A. "Wear compression stockings daily." B. "Examine your feet carefully every day." C. "Maintain stable blood glucose levels." D. "Have an eye examination once per year,"

Correct Answer is C

Explanation

A. "Wear compression stockings daily." is not specifically related to preventing diabetic complications of the eyes and kidneys.
B. "Examine your feet carefully every day." is important for preventing diabetic foot ulcers but is not directly related to preventing retinopathy and nephropathy.
C. Maintaining stable blood glucose levels is the most effective way to prevent complications like retinopathy and nephropathy in clients with diabetes mellitus. Consistently high blood glucose levels can lead to damage to blood vessels in the eyes and kidneys.
D. "Have an eye examination once per year." is important, but maintaining stable blood glucose levels is the most effective long-term prevention strategy.

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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 condition would the nurse associate with an infection of a sebaceous gland when the patient presents with a small, white, superficial nodule on the margin of the eyelid?

Correct Answer is B

Explanation

A nurse is teaching an older adult client who has diabetes mellitus about preventing the long- term complications of retinopathy and nephropathy. Which of the following instructions should the nurse include?

Correct Answer is C

Explanation

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

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

Which statement is accurate about the recommendations for BP management after an ischemic stroke?

Which initial clinical manifestation would a patient report with a retinal detachment?

A nurse is caring for a client who has increased intracranial pressure. Which of the following interventions should the nurse plan to include in the plan of care? (Select All that Apply.)

A nurse is caring for a client who has had a stroke involving the right hemisphere. Which of the following alterations in function should the nurse expect?

To preserve cerebral perfusion of a patient with an elevated intracranial pressure (ICP), which cerebral perfusion pressure (CPP) would the nurse maintain when suctioning the patient?

An RN is teaching a student nurse about tissue plasminogen activator (tPA) administration in a patient with ischemic stroke. Which statement made by the student nurse indicates a need for further teaching?