A nurse is educating a group of nursing students about brain herniation.
Which of the following interventions should the nurse include as a potential treatment for brain herniation?
Hyperventilate the patient.
Decrease sedation.
Reduce the temperature in the room.
Lower blood pressure.
The Correct Answer is A
Choice A rationale
Hyperventilation is a potential treatment for brain herniation. Hyperventilation causes a decrease in carbon dioxide levels in the blood, leading to vasoconstriction of the cerebral blood vessels. This reduces cerebral blood flow and decreases intracranial pressure, which can help in the management of brain herniation.
Choice B rationale
Decreasing sedation is not typically a treatment for brain herniation. Sedation can be used in the management of increased intracranial pressure, but it is not a direct treatment for brain herniation.
Choice C rationale
Reducing the temperature in the room is not a direct treatment for brain herniation. While temperature control is important in the overall management of a patient with brain injury, it does not directly treat brain herniation.
Choice D rationale
Lowering blood pressure is not a direct treatment for brain herniation. While maintaining optimal blood pressure is important in the management of brain injury, aggressive lowering of blood pressure is not typically done as it could compromise cerebral perfusion.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Correct Answer is ["A","B","C","D"]
Explanation
Choice A rationale
Sensation of pressure is a common symptom of urinary retention due to prostatic hypertrophy.
Choice B rationale
Dysuria, or painful urination, can occur due to the enlarged prostate pressing against the urethra.
Choice C rationale
Bladder distension is a result of the bladder becoming overly full due to inability to fully empty the bladder.
Choice D rationale
Tenderness over the symphysis pubis can occur due to the bladder being overly full and distended.
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