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
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Glucose level, BP, and brain tissue: Glucose level is not a key component of ICP balance.
B. BP, brain tissue, and cerebrospinal fluid: These are the primary components that contribute to ICP balance. Changes in any of these can affect pressure inside the skull.
C. BP, brain tissue, body mass index: BMI is not directly related to ICP balance.
D. BP, brain tissue, and ventricles of the brain: The ventricles are involved in cerebrospinal fluid production but are not one of the primary components of ICP balance as a whole.
Correct Answer is A
Explanation
A. Blepharitis is an inflammation of the eyelid margin causing symptoms such as itching, irritation, light intolerance, and crusting.
B. Retinal detachment involves sudden visual disturbances such as flashes of light or a curtain-like shadow, not itching or crusting.
C. Allergic conjunctivitis involves redness, itching, and watery discharge, not crusty debris on the lid margins.
D. Cataracts lead to blurred vision and glare, not irritation or crusting.
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