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. Increased intracranial pressure (ICP) typically causes hypertension (increased blood pressure) rather than hypotension.
B. A decreased level of consciousness is one of the hallmark signs of increased ICP, as pressure on the brainstem affects consciousness.
C. Tachypnea may occur with ICP, but it is less specific compared to decreased consciousness.
D. This can occur with brain injury but is not as directly indicative of ICP as decreased consciousness.
Correct Answer is D
Explanation
A. Diabetes is not primary risk factors for embolic strokes, although it can increase the risk for other types of cardiovascular events.
B. Hypothyroidism is not primary risk factors for embolic strokes, although it can increase the risk for other types of cardiovascular events.
C. Heart failure also increases the risk for stroke, but atrial fibrillation is a stronger risk factor for embolic stroke.
D. Atrial fibrillation significantly increases the risk of embolism because it causes blood to pool in the atria, which can form clots that may travel to the brain, causing a stroke.
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