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
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Hyperopia (farsightedness) causes difficulty seeing close objects.
B. Myopia, or nearsightedness, causes difficulty seeing distant objects clearly while nearby objects remain clear.
C. Astigmatism results in blurred vision at all distances due to an irregularly shaped cornea.
D. Presbyopia is age-related difficulty in focusing on near objects due to lens rigidity.
Correct Answer is D
Explanation
A. Difficulty moving the upper extremities may occur in some stroke patients but is not a direct complication of immobility.
B. Stiffness in the lower extremities could be a result of immobility, but pressure ulcers are a higher immediate concern.
C. Difficulty hearing some types of sounds is unrelated to immobility.
D. Immobility increases the risk of pressure ulcers, especially over bony prominences like the sacrum. A reddened area indicates potential early tissue damage due to prolonged pressure.
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