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 B

Explanation

A. Poor judgment: Poor judgment is more likely to be seen with a stroke in the right hemisphere.
B. Intellectual impairment: A stroke in the left hemisphere can cause cognitive and intellectual deficits, especially in language and reasoning.
C. Loss of depth perception: Loss of depth perception is typically seen with right-sided strokes, not left- sided.
D. Impaired sense of humor: This is more common in right-sided strokes affecting the emotional and social aspects of the brain.

A. Safety precaution B. Oxygenation C. Pain management D. Infection

Correct Answer is A

Explanation

A. The priority in managing delirium is ensuring the patient's safety, as delirium increases the risk of falls, self-harm, and other dangerous behaviors. Close monitoring and protective measures are essential.
B. Oxygenation is important but not the first priority unless the patient shows signs of hypoxia or respiratory distress.
C. Pain management should be considered, but it is secondary to addressing the safety risks associated with delirium.
D. Infection should be investigated, but the immediate concern in delirium is safety due to the altered mental state.

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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 had a stroke involving the left cerebral hemisphere. The nurse should monitor for which of the following findings?

Correct Answer is B

Explanation

Which are would be a priority of care for a patient who is being admitted to the hospital and its demonstrating signs of delirium?

Correct Answer is A

Explanation

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