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?

Regulation of constriction and dilation of blood vessels in the brain

Regulation of catecholamines circulating throughout the body

Regulation of the amount of carbon dioxide exhaled

Regulation of how much blood is pumped from the heart

Answer and Explanation

The Correct Answer is A

A.   The constriction and dilation of blood vessels in the brain helps maintain appropriate cerebral blood flow and cerebral perfusion pressure (CPP) despite fluctuations in blood pressure.
B.   Catecholamines regulate other systemic body functions, but they do not directly impact cerebral perfusion pressure.
C.   Carbon dioxide exhalation can affect blood flow, but the primary regulation of CPP is through blood vessel constriction and dilation.
D.   The amount of blood pumped from the heart can impact overall blood pressure but does not directly regulate cerebral perfusion pressure.

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Correct Answer is B

Explanation

B. Brain cells begin to die within 2 minutes if blood flow is interrupted, which is why rapid intervention is crucial during a stroke or other conditions that block cerebral blood flow.
A. 8 minutes is too long for brain cells to survive without oxygen.
C. 20 minutes is too long for brain cells to survive without oxygen.
D. 5 minutes is too long for brain cells to survive without oxygen.

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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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?

Nursing Test Bank

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