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 D

Explanation

A. Orientation to person, place, and time is not expected in meningitis as the infection typically causes altered mental status.
B. Bradycardia is not a typical finding in meningitis. Increased intracranial pressure may lead to tachycardia, not bradycardia.
C. Blurred vision can occur with increased ICP or certain infections, but it is not a primary symptom of meningitis.
D. Severe headache is a hallmark symptom of meningitis, due to inflammation of the meninges, causing pain and increased intracranial pressure.

A. Put all used cosmetics in a plastic bag for one week to kill any bacteria before reusing B. Disinfect contact lenses by soaking in a cleaning solution for 48 hrs. C. Discard all opened or used contact lenses and les care products D. Disinfect all lesions care products with prescribed antibiotic drops for one week post infection

Correct Answer is C

Explanation

A. Put all used cosmetics in a plastic bag for one week to kill any bacteria before reusing: This is not a recommended intervention. Disinfecting or discarding the cosmetics would be better.
B. Disinfect contact lenses by soaking in a cleaning solution for 48 hrs: Bacterial conjunctivitis requires the patient to discard lenses for proper infection control.
C. Discard all opened or used contact lenses and lens care products: Discarding contaminated lenses and care products prevents reinfection.

D. Disinfect all lens care products with prescribed antibiotic drops for one-week post infection: This is not recommended as a general practice; lenses and solutions should be discarded instead.

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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

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