What are the initial symptoms of ICP (increased intracranial pressure)?
Increased LOC and increased range of motion
Restlessness, irritability, and decreased LOC
Pain in the calf and neck
Fever and chills
The Correct Answer is B
A. Increased LOC (level of consciousness) and increased range of motion are not typical symptoms of increased intracranial pressure (ICP). In fact, ICP usually leads to a decreased level of consciousness, not an increase.
B. Restlessness, irritability, and decreased LOC are early signs of increased intracranial pressure. As pressure inside the skull rises, the brain becomes less able to function normally, leading to changes in behavior and cognition, such as restlessness and irritability, followed by a decrease in consciousness.
C. Pain in the calf and neck is not a typical symptom of ICP. While neck pain may occur with certain neurological conditions, it is not a hallmark of increased intracranial pressure.
D. Fever and chills are not initial symptoms of ICP. These symptoms are more indicative of infection, such as meningitis, rather than increased intracranial pressure.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Vitamin K is the antidote for excessive anticoagulation caused by warfarin. It helps to reverse the effects of warfarin by promoting the synthesis of clotting factors.
B. Naloxone is used to reverse opioid overdose, not related to warfarin or its effects.
C. Disulfiram is used to treat alcohol use disorder by causing unpleasant effects when alcohol is consumed, and is unrelated to warfarin.
D. Protamine is used to reverse the effects of heparin, not warfarin.
Correct Answer is A
Explanation
A. The postictal phase refers to the period immediately following a seizure when the client is often drowsy, confused, or difficult to arouse. This phase can last for several minutes to hours, depending on the individual.
B. Absence seizures are brief, generalized seizures characterized by staring and loss of awareness, often without a postictal phase.
C. The aura phase refers to the sensory warning or symptoms that precede a seizure, not the post-seizure state.
D. Automatisms are involuntary, repetitive movements (such as lip smacking or hand wringing) that can occur during a seizure, but they do not describe the postictal state.
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