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 A

Explanation

A. tPA (tissue plasminogen activator) should be administered within 3 to 4.5 hours of the onset of ischemic stroke symptoms, not 12 hours. Administering it after this window increases the risk of complications such as bleeding.
B. tPA is administered by intraarterial infusion is true, but it refers to a specific technique for certain stroke types.
C. tPA is administered IV is correct for intravenous administration in many cases of ischemic stroke.

D. tPA requires BP monitoring during and 24 hrs after the treatment is accurate as blood pressure control is critical when administering tPA.

A. Oriented to person, place, and year B. Bradycardia C. Blurred vision D. Severe headache

Correct Answer is D

Explanation

A. Orientation to person, place, and time is not expected in meningitis as the infection typically causes altered mental status.
B. Bradycardia is not a typical finding in meningitis. Increased intracranial pressure may lead to tachycardia, not bradycardia.
C. Blurred vision can occur with increased ICP or certain infections, but it is not a primary symptom of meningitis.
D. Severe headache is a hallmark symptom of meningitis, due to inflammation of the meninges, causing pain and increased intracranial pressure.

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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

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?

Correct Answer is A

Explanation

A nurse is assessing a client who has meningitis. Which of the following findings should the nurse expect?

Correct Answer is D

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?

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?

Which outcome would concern the nurse when the patient's calculated mean arterial pressure (MAP) is below 70 mm Hg?

A nurse caring for a client who had a right-sided stroke and is exhibiting homonymous hemianopsia when eating. Which of the following actions should the nurse take?

A nurse is developing a teaching plan for a client who has psoriasis. Which of the following actions should the nurse include in the plan?

A nurse is monitoring a client who had a cerebral aneurysm rupture. Which of the following findings should the nurse identify as a manifestation of increased intracranial pressure?

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

A nurse is caring for a client who has sustained a traumatic brain injury. The nurse should monitor the client for which of the following manifestations of increased intracranial pressure?