To preserve cerebral perfusion of a patient with an elevated intracranial pressure (ICP), which cerebral perfusion pressure (CPP) would the nurse maintain when suctioning the patient?

80 mm Hg

20 mm Hg

40 mm Hg

60 mm HG

Answer and Explanation

The Correct Answer is A

A.   Cerebral perfusion pressure (CPP) is crucial for maintaining adequate blood flow to the brain. A CPP of 80 mm Hg is typically considered the lower limit for preserving cerebral perfusion, particularly in patients with elevated ICP.
B.   20 mm Hg is too low and would indicate inadequate perfusion, which could result in brain ischemia.
C.   40 mm Hg is too low for optimal cerebral perfusion in critically ill patients with elevated ICP.
D.   60 mm Hg is also too low for optimal cerebral perfusion in critically ill patients with elevated ICP.

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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.

A. "I won't be able to have drugs instill through this procedure." B. "I will have an internal transducer inserted into my head." C. "The healthcare provider won't be able to get samples of my cerebrospinal fluid." D. "It will directly measure the pressure within the ventricles of my brain."

Correct Answer is D

Explanation

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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To preserve cerebral perfusion of a patient with an elevated intracranial pressure (ICP), which cerebral perfusion pressure (CPP) would the nurse maintain when suctioning the patient?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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

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

Correct Answer is D

Explanation

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Which interventions would the nurse include in the plan of care for a patient with a diagnosis of bacterial meningitis?

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