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 D
Explanation
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.
Correct Answer is A
Explanation
A. Osmotic diuretics, such as mannitol, help reduce cerebral edema by drawing fluid out of the brain.
B. Osmotic diuretics do not increase cell size.
C. The goal of osmotic diuretics is not to provide fluid hydration.
D. The medication does not expand extracellular fluid volume; it reduces it.
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