When explaining normal intracranial pressure (ICP) balance to the patient's family, which three components would the nurse include?

Glucose level, BP, and brain tissue

BP, brain tissue, and cerebrospinal fluid

BP, brain tissue, body mass index

BP, brain tissue, and ventricles of the brain

Answer and Explanation

The Correct Answer is B

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.

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Correct Answer is A

Explanation

A. A hemorrhagic stroke, especially after a ruptured cerebral aneurysm, often presents with a sudden, severe headache. This headache is typically described as the "worst headache of my life."
B. Gradual onset of several hours is more typical of an ischemic stroke, not a hemorrhagic stroke.
C. History of neurologic deficits lasting less than 1 hour would suggest a transient ischemic attack (TIA), not a hemorrhagic stroke.
D. Maintains consciousness is not typical of a hemorrhagic stroke, as the client may lose consciousness or be altered in their mental status due to the bleeding.

A. Restrict head movement. B. Apply cool compresses. C. Keep both eyes patched. D. Eye drops to constrict the pupils will be prescribed.

Correct Answer is A

Explanation

A. After retinal detachment surgery, it is essential to restrict head movement to avoid further damage to the retina or to ensure proper healing post-surgery.
B. Apply cool compresses is not typically recommended before or after retinal detachment surgery, as it could cause discomfort or worsen symptoms.
C. Keep both eyes patched is not necessary unless specifically instructed by the surgeon.
D. Eye drops to constrict the pupils are generally used after surgery but are not a preoperative measure.

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When explaining normal intracranial pressure (ICP) balance to the patient's family, which three components would the nurse include?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who has had a hemorrhagic stroke following a ruptured cerebral aneurysm. Which of the following manifestations should the nurse expect?

Correct Answer is A

Explanation

A nurse is talking with a client who is scheduled for surgery to repair retinal detachment. Which of the following preoperative instructions should the nurse include?

Correct Answer is A

Explanation

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