For the patient after a craniotomy, which intracranial pressure (ICP) reading would the nurse report immediately to the healthcare provider?

An ICP of 10 mm HG

An ICP of 15 mm HG

An ICP of 20 mm HG

An ICP of 5 mm HG

Answer and Explanation

The Correct Answer is C

A.   An ICP of 10 mm HG is within normal limits.
B.   An ICP of 15 mm HG is within normal limits.
C.   An ICP of 20 mm Hg is elevated and should be reported immediately as it can indicate worsening conditions like brain swelling or herniation. Normal ICP is typically 5 to 15 mm Hg.
D.   An ICP of 5 mm HG is also normal and would not require immediate reporting.

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Correct Answer is A

Explanation

A. After retinal detachment surgery, it is essential to restrict head movement to avoid further damage to the retina or to ensure proper healing post-surgery.
B. Apply cool compresses is not typically recommended before or after retinal detachment surgery, as it could cause discomfort or worsen symptoms.
C. Keep both eyes patched is not necessary unless specifically instructed by the surgeon.
D. Eye drops to constrict the pupils are generally used after surgery but are not a preoperative measure.

A. Increased ICP B. Decreased cerebral blood flow (CBF) C. Increased cerebral perfusion pressure (CPP) D. Normal intracranial pressure

Correct Answer is B

Explanation

A. Increased ICP would be a concern when the MAP falls below 70 mm Hg because reduced blood pressure can lead to inadequate cerebral blood flow and worsen ICP.
B. Decreased cerebral blood flow (CBF) is also a concern with low MAP, but the priority is maintaining MAP at a sufficient level to ensure adequate perfusion.
C. Increased CPP is unlikely with a low MAP, as CPP is a product of MAP and ICP.
D. Normal ICP would be a good outcome; however, with a low MAP, the nurse should be concerned about insufficient cerebral perfusion and the risk of increased ICP.

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For the patient after a craniotomy, which intracranial pressure (ICP) reading would the nurse report immediately to the healthcare provider?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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?

Correct Answer is A

Explanation

Which outcome would concern the nurse when the patient's calculated mean arterial pressure (MAP) is below 70 mm Hg?

Correct Answer is B

Explanation

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 admits a client who has a subarachnoid hemorrhage and increased intracranial pressure (ICP). Which of the following medications should the nurse expect to administer to decrease ICP?

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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?

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The nurse will include which intervention for the patient newly admitted with cellulitis of the right foot?

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