For the patient after a craniotomy, which intracranial pressure (ICP) reading would the nurse report immediately to the healthcare provider?

An ICP of 10 mm HG

An ICP of 15 mm HG

An ICP of 20 mm HG

An ICP of 5 mm HG

Answer and Explanation

The Correct Answer is C

A.   An ICP of 10 mm HG is within normal limits.
B.   An ICP of 15 mm HG is within normal limits.
C.   An ICP of 20 mm Hg is elevated and should be reported immediately as it can indicate worsening conditions like brain swelling or herniation. Normal ICP is typically 5 to 15 mm Hg.
D.   An ICP of 5 mm HG is also normal and would not require immediate reporting.

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Correct Answer is D

Explanation

A. CN V (Trigeminal nerve) is responsible for sensation in the face and motor function for chewing, not eye movement or pupil constriction.
B. CN VIII (Vestibulocochlear nerve) deals with hearing and balance, not eye function.
C. CN IV (Trochlear nerve) controls eye movement, but it does not typically affect the pupil in this way.
D. Cranial nerve III (Oculomotor nerve) controls most eye movements and pupil constriction. A fixed and dilated pupil typically indicates damage to CN III, which may be due to nerve compression, often from increased intracranial pressure or herniation.

A. Dim lighting installed throughout the house. B. The hot water heater is set at 54°C (130° F). C. Medications are stored in a clear bag. D. Grab bars are installed in the bathroom. E. Area rugs are placed in the living room.

Correct Answer is ["A","B","E"]

Explanation

A. Dim lighting installed throughout the house: Poor lighting increases the risk of falls and accidents, especially after a stroke.

B. The hot water heater is set at 54°C (130° F): Hot water set at this temperature can lead to burns, posing a safety hazard.
C. Medications are stored in a clear bag: This is not a safety hazard; however, medications should be stored properly and organized for easy access.
D. Grab bars are installed in the bathroom: This is a safety feature that helps prevent falls and should be encouraged.
E. Area rugs are placed in the living room: Rugs can pose a tripping hazard, especially for stroke patients who may have mobility issues.

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For the patient after a craniotomy, which intracranial pressure (ICP) reading would the nurse report immediately to the healthcare provider?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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

Correct Answer is D

Explanation

A nurse is performing a home safety assessment for a client who has experienced a stroke. Which of the following findings are a safety hazards for the client?

Correct Answer is ["A","B","E"]

Explanation

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