What are the initial symptoms of ICP (increased intracranial pressure)?

Increased LOC and increased range of motion

Restlessness, irritability, and decreased LOC

Pain in the calf and neck

Fever and chills

Answer and Explanation

The Correct Answer is B

A. Increased LOC (level of consciousness) and increased range of motion are not typical symptoms of increased intracranial pressure (ICP). In fact, ICP usually leads to a decreased level of consciousness, not an increase.

B. Restlessness, irritability, and decreased LOC are early signs of increased intracranial pressure. As pressure inside the skull rises, the brain becomes less able to function normally, leading to changes in behavior and cognition, such as restlessness and irritability, followed by a decrease in consciousness.

C. Pain in the calf and neck is not a typical symptom of ICP. While neck pain may occur with certain neurological conditions, it is not a hallmark of increased intracranial pressure.

D. Fever and chills are not initial symptoms of ICP. These symptoms are more indicative of infection, such as meningitis, rather than increased intracranial pressure.

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Free Nursing Study Resources

Correct Answer is ["2"]

Explanation

Set up the equation:

Desired dose / Available dose per tablet = Number of tablets

Plug in the values:

275 mcg / 137 mcg/tablet = Number of tablets

Calculate:

275 / 137 = 2.007

Round to the nearest whole number:

2.007 rounds to 2

Answer = 2 tablets

A. Palpebral angle rigid, right and left angles B. Patient's eyes round, regular, lively, active C. Pupils equal, round, and reactive to light and accommodation D. Pupils equilateral, regular, round, little accommodation

Correct Answer is C

Explanation

A. Palpebral angle rigid, right and left angles is not a part of the PERRLA assessment. The term refers to the space between the eyelids, which is not assessed with the PERRLA acronym.

B. Patient's eyes round, regular, lively, active is a description of the general appearance of the eyes but does not correspond to the PERRLA acronym, which specifically addresses the pupils' response to light and accommodation.

C. PERRLA stands for Pupils Equal, Round, and Reactive to Light and Accommodation. This means the pupils should be equal in size, round in shape, react to light (constricting when exposed to light), and accommodate (adjust) when focusing on near or far objects. This is a standard neurological assessment used to evaluate the functioning of the eyes and the nervous system.

D. Pupils equilateral, regular, round, little accommodation does not accurately describe PERRLA. The correct term is "accommodation," which refers to the pupils' ability to adjust when focusing on near or far objects, not "little accommodation."

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What are the initial symptoms of ICP (increased intracranial pressure)?

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Naxlex Comprehensive Predictor Exams

A nurse is preparing to administer levothyroxine 275 mcg PO to a client. The amount available is levothyroxine 137 mcg/tablet. How many tablets should the nurse administer? (Round to the nearest whole number. Use a leading zero if it applies. DO not use a trailing zero.)

Correct Answer is ["2"]

Explanation

The nurse performs a visual assessment on a patient and documents the findings using the acronym PERRLA. Which assessment finding does PERRLA indicate?

Correct Answer is C

Explanation

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