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

Ventriculostomy

Fiberoptic catheter

Central line

Transcranial Doppler

Answer and Explanation

The Correct Answer is A

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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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. "Wear compression stockings daily." B. "Examine your feet carefully every day." C. "Maintain stable blood glucose levels." D. "Have an eye examination once per year,"

Correct Answer is C

Explanation

A. "Wear compression stockings daily." is not specifically related to preventing diabetic complications of the eyes and kidneys.
B. "Examine your feet carefully every day." is important for preventing diabetic foot ulcers but is not directly related to preventing retinopathy and nephropathy.
C. Maintaining stable blood glucose levels is the most effective way to prevent complications like retinopathy and nephropathy in clients with diabetes mellitus. Consistently high blood glucose levels can lead to damage to blood vessels in the eyes and kidneys.
D. "Have an eye examination once per year." is important, but maintaining stable blood glucose levels is the most effective long-term prevention strategy.

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

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 teaching an older adult client who has diabetes mellitus about preventing the long- term complications of retinopathy and nephropathy. Which of the following instructions should the nurse include?

Correct Answer is C

Explanation

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 caring for a client who has aphasia following a stroke. A family member asks the nurse how she should communicate with the client. Which of the following responses by the nurse is appropriate?

A nurse is caring for a client who has increased intracranial pressure (ICP) following a closed- head injury. Which of the following actions should the nurse take?

After receiving pre procedural instructions, which patient statement demonstrates an understanding of a scheduled ventriculostomy?

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?

A nurse is taking care of a client who has sustained a neurologic injury with increased intracranial pressure and decreased cerebral perfusion. Which of the following will keep cerebral perfusion pressure constant?

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?

Which medical condition places a patient at a higher risk for an embolic stroke?