The LPN/LVN is assisting the RN in providing care for a patient with a risk for increased ICP. What finding needs to be reported to the RN?

Shallow, even respirations

Narrowing pulse pressure

Increased systolic blood pressure

Pulse of 98

Answer and Explanation

The Correct Answer is B

A. Shallow, even respirations may be a normal finding or indicate respiratory distress, but it is not a specific sign of increased ICP. It should still be monitored, but it is not the most concerning finding in this scenario.

B. Narrowing pulse pressure, which is the difference between systolic and diastolic blood pressure, is a sign of increased intracranial pressure (ICP). As ICP rises, the body compensates by increasing systolic blood pressure and decreasing diastolic pressure, leading to a narrowing pulse pressure. This is a critical sign that should be reported immediately to the RN.

C. Increased systolic blood pressure is a compensatory mechanism to maintain cerebral perfusion when ICP increases. While it is concerning, it is not as immediately alarming as narrowing pulse pressure, which is a more direct indicator of increased ICP.

D. A pulse of 98 is within normal limits for most adults and does not indicate any immediate concern regarding increased ICP. It should be monitored, but it does not require urgent reporting to the RN.

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Correct Answer is B

Explanation

A. While chemotherapy does have side effects, this is not the primary reason for its limited use in treating brain tumors. Side effects are a consideration but not the main obstacle.

B. The blood-brain barrier is a selective permeability barrier that limits the ability of many chemotherapy drugs to pass from the bloodstream into the brain tissue. This makes it difficult for chemotherapy to effectively treat brain tumors.

C. Brain tumors can metastasize and spread to other parts of the body, so chemotherapy may still be needed, especially in cases of malignant tumors.

D. Chemotherapy is commonly used to treat cancer, including brain tumors, but the blood-brain barrier poses a significant challenge in its effectiveness.

A. A sensory warning that a seizure is imminent B. A brief loss of consciousness accompanied by staring C. A continuous seizure state in which seizures occur in rapid succession D. A period of sleepiness following the seizure during which arousal is difficult

Correct Answer is A

Explanation

A. An aura is a sensory warning (such as a strange taste, smell, or visual disturbance) that often precedes a seizure, indicating that a seizure is imminent. It is a common experience for individuals with certain types of seizures, such as focal seizures.

B. A brief loss of consciousness accompanied by staring is indicative of absence seizures, not an aura.

C. A continuous seizure state in which seizures occur in rapid succession is known as status epilepticus, a medical emergency.

D. A period of sleepiness following the seizure is called the postictal state, but this is not related to an aura, which occurs before the seizure.

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The LPN/LVN is assisting the RN in providing care for a patient with a risk for increased ICP. What finding needs to be reported to the RN?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is B

Explanation

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Correct Answer is A

Explanation

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