After receiving pre procedural instructions, which patient statement demonstrates an understanding of a scheduled ventriculostomy?

"I won't be able to have drugs instill through this procedure."

"I will have an internal transducer inserted into my head."

"The healthcare provider won't be able to get samples of my cerebrospinal fluid."

"It will directly measure the pressure within the ventricles of my brain."

Answer and Explanation

The Correct Answer is D

A.   A ventriculostomy involves inserting a catheter into the ventricles of the brain to monitor ICP, not a procedure for instilling drugs.
B.   A ventriculostomy involves the insertion of a catheter to monitor ICP, not an internal transducer.
C.   Cerebrospinal fluid (CSF) samples can be taken via ventriculostomy; the procedure does not prevent this.
D.   A ventriculostomy measures the pressure within the brain’s ventricles to monitor intracranial
pressure, which is the correct understanding.

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Correct Answer is A

Explanation

A. Damage to the right hemisphere, particularly the parietal and temporal lobes, can cause difficulty with recognition (prosopagnosia) and spatial awareness.
B. Right hemiparesis (weakness of the left side of the body) is common with left hemisphere damage, not right hemisphere damage.
C. Aphasia (language impairment) is typically associated with left hemisphere damage.
D. Difficulty reading (alexia) is more common with left hemisphere stroke, which controls language processing.

A. Avoid friction over scaly lesions while bathing. B. Eliminate the use of products containing salicylic acid. C. Maintain occlusive dressings on the lesions throughout the day and remove them at bedtime. D. Identify effective stress reduction techniques.

Correct Answer is D

Explanation

A. Avoid friction over scaly lesions while bathing is generally good advice, but it is not the primary focus in this situation.
B. Eliminate the use of products containing salicylic acid is not necessary unless the client has a known sensitivity or reaction to it, as salicylic acid is commonly used to treat psoriasis.
C. Maintain occlusive dressings on the lesions throughout the day and remove them at bedtime is not typically recommended for psoriasis, as it can exacerbate the condition or increase irritation. Topical treatments, if prescribed, should be used as directed.
D. Psoriasis is often exacerbated by stress. Therefore, teaching the client effective stress reduction techniques (e.g., meditation, deep breathing, yoga) can help in managing flare-ups.

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After receiving pre procedural instructions, which patient statement demonstrates an understanding of a scheduled ventriculostomy?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who has had a stroke involving the right hemisphere. Which of the following alterations in function should the nurse expect?

Correct Answer is A

Explanation

A nurse is developing a teaching plan for a client who has psoriasis. Which of the following actions should the nurse include in the plan?

Correct Answer is D

Explanation

when assessing a patient's neurologic status upon arrival to the emergency room, which reliable indicator would the nurse utilize first?

Which medical condition places a patient at a higher risk for an embolic stroke?

A nurse is talking with a client who is scheduled for surgery to repair retinal detachment. Which of the following preoperative instructions should the nurse include?

A nurse is caring for a client who has increased intracranial pressure. Which of the following interventions should the nurse plan to include in the plan of care? (Select All that Apply.)

A nurse is preparing to administer an osmotic diuretic IV to a client with increased intracranial pressure. Which of the following should the nurse identify as the purpose of the medication?

Which initial clinical manifestation would a patient report with a retinal detachment?

A nurse observes a patient whose right eye is fixed and dilated, for which cranial nerve (CN) would the nurse suspect nerve compression?

A nurse is caring for a client who has increased intracranial pressure (ICP) following a closed- head injury. Which of the following actions should the nurse take?