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 C

Explanation

A. Hypertension is a modifiable risk factor for stroke, not a nonmodifiable one.
B. Obesity is a modifiable risk factor, as lifestyle changes can affect weight.
C. Genetics are a nonmodifiable risk factor, as family history cannot be changed and increases stroke risk.
D. History of smoking is a modifiable risk factor. Stopping smoking reduces stroke risk.

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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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 teaching about risk factors for developing a stroke with a group of older adult clients. Which of the following nonmodifiable risk factors should the nurse include?

Correct Answer is C

Explanation

A nurse is caring for a client who had a stroke involving the left cerebral hemisphere. The nurse should monitor for which of the following findings?

Correct Answer is B

Explanation

A nurse is teaching a client who has diabetes mellitus about diabetic retinopathy. Which of the following statements should the nurse make to the client?

After performing an assessment of the oculocephalic reflex, the nurse suspects that the patient has an intracranial lesion. Which patient behavior supports the nurse's assessment findings?

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When explaining normal intracranial pressure (ICP) balance to the patient's family, which three components would the nurse include?

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