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 D

Explanation

A. Allow the client to ambulate is generally acceptable, but should be done cautiously to avoid any strain on the eyes.
B. Remove the eye patch during the day is incorrect as the eye patch is usually kept in place to protect the eye during the early stages of recovery.
C. Encourage coughing and deep breathing should be done with caution as excessive coughing or straining can increase intraocular pressure.

D. After retinal repair surgery, it's important to avoid activities that may increase intraocular pressure or strain the eyes, such as reading and writing. These activities can cause excessive eye movement and stress, hindering the healing process.

A. Paresthesia of the right lower extremity B. Delayed capillary refill time C. Pallor of the right toes D. Hot, tender edematous area

Correct Answer is D

Explanation

A. Paresthesia (numbness or tingling) is not a typical finding in cellulitis and may suggest nerve involvement or other conditions.
B. Delayed capillary refill time would indicate poor circulation or possible shock but is not a direct sign of cellulitis.
C. Pallor of the right toes could suggest circulatory issues but is not associated with cellulitis.
D. Cellulitis is an infection of the skin and underlying tissues, usually presenting with warmth (hot), tenderness, redness, and swelling (edema) at the site of infection.

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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 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?

Correct Answer is D

Explanation

Cellulitis of the right lower extremity may present with which assessment finding?

Correct Answer is D

Explanation

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