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)

Answer and Explanation

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.

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Correct Answer is A

Explanation

A. Flashes of light and floaters are common early symptoms of retinal detachment as the retina begins to pull away from the underlying tissue.
B. Retinal detachment is usually painless; pain with eye movement is more associated with other eye conditions.
C. Increased glare is not typically associated with retinal detachment but may occur in cataracts.
D. Redness is usually a sign of conjunctivitis, not retinal detachment.

A. Establish the ability to communicate effectively. B. Learn to control impulsive behavior. C. Improve left-side motor function. D. Compensate for loss of depth perception.

Correct Answer is A

Explanation

A. Left-sided strokes commonly affect language and speech functions due to damage in the language center, so communication goals should be prioritized.
B. Impulsive behavior is more commonly associated with right-sided strokes, not left-sided strokes.
C. Left-sided motor deficits are due to the right hemisphere being affected, not the left hemisphere.
D. Loss of depth perception is more often seen with right-sided strokes, affecting the right hemisphere.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Which initial clinical manifestation would a patient report with a retinal detachment?

Correct Answer is A

Explanation

A nurse at a rehabilitation center is planning care for a client who had a left hemispheric cerebrovascular accident (CVA) 3 weeks ago. Which of the following goals should the nurse include in the client's rehabilitation program?

Correct Answer is A

Explanation

when assessing a patient's neurologic status upon arrival to the emergency room, which reliable indicator would the nurse utilize first?

A nurse is instructing a client's family members about feeding safety for a client who has dysphagia following a stroke. Which of the following instructions should the nurse include?

A nurse is caring for a client who has meningitis, a temperature of 39.7° C (103.5° F), and is prescribed a hypothermia blanket. While using this therapy, the nurse should know that the client must carefully be observed for which of the following complications?

A nurse is planning care for a client 1 day postoperative following a detached retinal repair. Which of the following instructions should the nurse include in the plan?

A nurse is teaching about risk factors for developing a stroke with a group of older adult clients. Which of the following nonmodifiable risk factors should the nurse include?

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

Which refractive error describes the vision of a patient for whom nearby objects are clear but objects at a distance are blurred?