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 C

Explanation

A. Thrombotic stroke typically presents with gradual symptom onset, not the sudden headache and vomiting seen here.
B. Embolic stroke is associated with symptoms that appear suddenly and usually do not present with vomiting or seizures.
C. A hemorrhagic stroke is characterized by the sudden onset of a severe headache, vomiting, altered mental status, and sometimes seizures, which are all present in this patient. The high blood pressure and fever may indicate a hemorrhage in the brain or an associated infection.
D. Transient ischemic attack (TIA) presents with temporary neurological deficits and does not cause persistent symptoms like a seizure or vomiting.

A. Poor judgment B. Intellectual impairment C. Loss of depth perception D. Impaired sense of humor

Correct Answer is B

Explanation

A. Poor judgment: Poor judgment is more likely to be seen with a stroke in the right hemisphere.
B. Intellectual impairment: A stroke in the left hemisphere can cause cognitive and intellectual deficits, especially in language and reasoning.
C. Loss of depth perception: Loss of depth perception is typically seen with right-sided strokes, not left- sided.
D. Impaired sense of humor: This is more common in right-sided strokes affecting the emotional and social aspects of the brain.

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

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Naxlex Comprehensive Predictor Exams

Correct Answer is C

Explanation

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?

Correct Answer is B

Explanation

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