A client with increased intracranial pressure has a cerebral perfusion pressure (CPP) of 40 mm Hg. This CPP reading is considered:
Low.
Inaccurate.
Within normal limits.
High.
The Correct Answer is A
Choice A rationale
A cerebral perfusion pressure (CPP) of 40 mm Hg is considered low, as the normal range for CPP is typically between 60 and 80 mm Hg. Low CPP can lead to inadequate blood flow to the brain.
Choice B rationale
An accurate CPP reading is crucial for assessing intracranial pressure and cerebral blood flow. A reading of 40 mm Hg is not typically considered inaccurate.
Choice C rationale
A CPP of 40 mm Hg is not within normal limits, as it is significantly below the normal range.
Choice D rationale
A CPP of 40 mm Hg is not high; it is considered low and requires medical attention.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A rationale
Administering systemic antibiotics is essential to treat the underlying bacterial infection causing severe impetigo. This intervention helps reduce infection spread and promotes healing.
Choice B rationale
Placing mitts on the client's hands may prevent scratching, which can worsen impetigo, but it is not the primary treatment for the infection itself. Antibiotic therapy is more crucial.
Choice C rationale
Continuing antibiotics for 21 days is not a standard duration for impetigo treatment. The treatment duration typically ranges from 7 to 10 days, depending on the severity and response to treatment.
Choice D rationale
Topical antibiotics are used for mild cases of impetigo. For severe impetigo, systemic antibiotics are more appropriate and effective in managing the infection.
Correct Answer is B
Explanation
Choice A rationale
The Romberg test does not assess motor ability. Motor ability tests typically involve assessing muscle strength, coordination, and movement.
Choice B rationale
The Romberg test is used to assess balance. It evaluates the client's ability to maintain a steady position with eyes closed, indicating the integrity of the proprioceptive and vestibular systems.
Choice C rationale
The Romberg test does involve coordination, but its primary focus is on balance rather than coordination alone. Coordination tests usually involve tasks requiring fine motor control.
Choice D rationale
The Romberg test does not assess muscle strength. Muscle strength tests involve evaluating the force generated by muscles during contraction.
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