Which intervention would the nurse implement as the priority when providing care for a patient with a ventriculostomy to measure increased intra-cranial pressure (ICP) caused by a brain tumor?
Beware of changes in ICP related to leaking cerebrospinal fluid (CSF)
Maintain hyper-oxygenation through use of a ventilator
Use strict aseptic technique with all procedural dressing changes
Administer IV mannitol (Osmitrol)
The Correct Answer is C
A. Monitoring for CSF leakage is crucial to avoid infection and to maintain ICP accuracy.
B. Hyper-oxygenation may be used in certain cases but is not the priority.
C. Aseptic technique for all procedures and dressing changes is critical to prevent infection.
D. Administering IV mannitol can be important, but aseptic technique is the priority to prevent infection.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Strabismus refers to misalignment of the eyes, not an infection.
B. A hordeolum, also known as a stye, is an infection of a sebaceous gland, presenting as a painful, red nodule near the eyelid margin.
C. Blepharitis refers to inflammation of the eyelid and would present with redness or flaking, not a white nodule.
D. Conjunctivitis is inflammation of the conjunctiva, not an infection of a sebaceous gland.
Correct Answer is A
Explanation
A. Damage to the right hemisphere, particularly the parietal and temporal lobes, can cause difficulty with recognition (prosopagnosia) and spatial awareness.
B. Right hemiparesis (weakness of the left side of the body) is common with left hemisphere damage, not right hemisphere damage.
C. Aphasia (language impairment) is typically associated with left hemisphere damage.
D. Difficulty reading (alexia) is more common with left hemisphere stroke, which controls language processing.
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