Which interventions would the nurse include in the plan of care for a patient with a diagnosis of bacterial meningitis?

Maintain the patient in a flat, supine position

Restrain the patient in bed.

Reduce the patient's environmental stimuli as much as possible

Increase the patient's fluid intake

Answer and Explanation

The Correct Answer is C

A.   A flat supine position is not recommended for patients with meningitis; they should be kept at a 30- degree angle to reduce ICP.

B.   Restraining the patient is unnecessary unless there is an immediate risk of harm, and it can cause distress.
C.   Reducing environmental stimuli helps minimize discomfort and risk of seizures, especially in meningitis, which causes hypersensitivity to light and sound.
D.   Fluid intake should be monitored carefully. Excessive fluids may increase ICP in a patient with meningitis.

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Correct Answer is A

Explanation

A. Cerebral perfusion pressure (CPP) is crucial for maintaining adequate blood flow to the brain. A CPP of 80 mm Hg is typically considered the lower limit for preserving cerebral perfusion, particularly in patients with elevated ICP.
B. 20 mm Hg is too low and would indicate inadequate perfusion, which could result in brain ischemia.
C. 40 mm Hg is too low for optimal cerebral perfusion in critically ill patients with elevated ICP.
D. 60 mm Hg is also too low for optimal cerebral perfusion in critically ill patients with elevated ICP.

A. Ventriculostomy B. Fiberoptic catheter C. Central line D. Transcranial Doppler

Correct Answer is A

Explanation

A. Ventriculostomy is considered the gold standard for measuring intracranial pressure (ICP). This procedure involves placing a catheter into the brain's ventricles to directly measure the pressure inside the skull.
B. Fiberoptic catheter can also be used for ICP measurement, but ventriculostomy is more accurate and allows for drainage of cerebrospinal fluid if needed.
C. Central line is used for venous access, not for measuring ICP.
D. Transcranial Doppler is used to assess blood flow in the brain, but not for direct ICP measurement.

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Which interventions would the nurse include in the plan of care for a patient with a diagnosis of bacterial meningitis?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

To preserve cerebral perfusion of a patient with an elevated intracranial pressure (ICP), which cerebral perfusion pressure (CPP) would the nurse maintain when suctioning the patient?

Correct Answer is A

Explanation

Which method of measurement is the gold standard for obtaining intracranial pressures?

Correct Answer is A

Explanation

A nurse is teaching a client who has diabetes mellitus about diabetic retinopathy. Which of the following statements should the nurse make to the client?

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

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