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 A

Explanation

A. Decreasing environmental stimuli can help reduce the risk of seizures and further stress on the patient. This is especially important in cases of meningitis, as the patient may be more sensitive to light, sound, and touch.
B. A vascular assessment is important but not the next immediate action in this scenario.
C. Administering an antipyretic is important but not the priority action right after implementing droplet precautions.
D. Assessing cranial nerves may be necessary later in the assessment but is not the immediate next step.

A. Establish the ability to communicate effectively. B. Learn to control impulsive behavior. C. Improve left-side motor function. D. Compensate for loss of depth perception.

Correct Answer is A

Explanation

A. Left-sided strokes commonly affect language and speech functions due to damage in the language center, so communication goals should be prioritized.
B. Impulsive behavior is more commonly associated with right-sided strokes, not left-sided strokes.
C. Left-sided motor deficits are due to the right hemisphere being affected, not the left hemisphere.
D. Loss of depth perception is more often seen with right-sided strokes, affecting the right hemisphere.

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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?

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Naxlex Comprehensive Predictor Exams

Correct Answer is A

Explanation

A nurse at a rehabilitation center is planning care for a client who had a left hemispheric cerebrovascular accident (CVA) 3 weeks ago. Which of the following goals should the nurse include in the client's rehabilitation program?

Correct Answer is A

Explanation

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