A patient with a TBI is experiencing increased Intracranial pressure. What position should the nurse place the patient?

Head elevated with neck midline

Supine with legs elevated

Trendelenburg position

Prone position

Answer and Explanation

The Correct Answer is A

A. Head elevated with neck midline: Elevating the head to 30 degrees and keeping the neck midline facilitates venous drainage from the brain and reduces ICP.

B. Supine with legs elevated: This position increases ICP by reducing venous return from the brain.

C. Trendelenburg position: This position exacerbates ICP by increasing blood flow to the brain.

D. Prone position: Lying prone increases ICP by obstructing venous outflow.

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Correct Answer is D

Explanation

A. Tachycardia: Present in both early sepsis and PE, so it does not differentiate them.

B. Hypotension: Common in later stages of sepsis and PE, not an early differentiating sign.

C. Tachypnea: Seen in both conditions, so it is not a distinguishing feature.

D. Increased temperature: Fever is an early sign of sepsis, differentiating it from pulmonary embolism (PE), which is more likely associated with acute respiratory distress, tachycardia, and chest pain.

A. Increased blood supply and edema to the area of injury B. Damage to brain tissue from decreased pressure shock waves C. Disruption of cellular function and blood vessel damage D. Increased synaptic connections from pressure

Correct Answer is C

Explanation

A. Increased blood supply and edema to the area of injury: While edema occurs, increased blood supply is not typically a feature of TBI; rather, blood flow may be impaired.

B. Damage to brain tissue from decreased pressure shock waves: Increased intracranial pressure (not decreased) is a more likely outcome.

C. Disruption of cellular function and blood vessel damage: TBIs cause mechanical disruption to brain cells and vasculature, leading to secondary effects such as swelling, ischemia, and cellular dysfunction.

D. Increased synaptic connections from pressure: Increased pressure does not enhance synaptic connections; instead, it disrupts neural activity.

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A patient with a TBI is experiencing increased Intracranial pressure. What position should the nurse place the patient?

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Naxlex Comprehensive Predictor Exams

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