What happens in stage four of intracranial pressure?

The brain tissue remains stable and does not shift.

The cerebrospinal fluid levels decrease significantly.

There is an increase in cerebral blood flow.

Brain herniation occurs as the brain tissue shifts from an area of greater pressure to an area of lower pressure

Answer and Explanation

The Correct Answer is D

A. In stage four, the brain tissue no longer remains stable; it shifts due to high pressure.
B. CSF levels may decrease initially in compensation but are not the hallmark of stage four.
C. Cerebral blood flow decreases due to increased pressure, leading to ischemia.
D. Stage four is marked by brain herniation, where increased intracranial pressure causes brain tissue to shift from high-pressure areas to lower-pressure areas, which can be life-threatening.

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Correct Answer is D

Explanation

A. A heart murmur may or may not be present but is not a specific sign of right-sided heart failure.
B. Shoulder pain radiating to the jaw is more indicative of cardiac ischemia or angina, not right-sided heart failure.
C. Crackles in the lungs are associated with left-sided heart failure due to pulmonary congestion.
D. Peripheral edema is a hallmark sign of right-sided heart failure, caused by systemic venous congestion and fluid accumulation in tissues.

A. Jugular distention B. Dependent edema C. Nocturnal polyuria D. Frothy sputum

Correct Answer is D

Explanation

A. Jugular distention is more commonly associated with right-sided heart failure.
B. Dependent edema is typically seen in right-sided heart failure due to systemic venous congestion.
C. Nocturnal polyuria can occur in heart failure but is less specific.
D. Frothy sputum is a classic sign of left-sided heart failure due to pulmonary congestion and edema caused by impaired left ventricular function.

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What happens in stage four of intracranial pressure?

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Naxlex Comprehensive Predictor Exams

A nurse is assessing a client who has right-sided heart failure. Which of the following findings should the nurse expect?

Correct Answer is D

Explanation

A nurse is caring for an older adult client who has left-sided heart failure. Which of the following assessment findings should the nurse expect?

Correct Answer is D

Explanation

Which of the following is a manifestation of cor pulmonale contributing to right-sided heart failure?

During the first stage of increased intracranial pressure, the brain attempts to compensate by employing a mechanism called:

An acute care nurse receives a shift report for a client who has increased intracranial pressure. The nurse is told that the client demonstrates decorticate posturing. Which of the following findings should the nurse expect to observe when assessing the client?

Which assessment tool is commonly used to evaluate the level of consciousness in a neurologically impaired patient?

A nurse is assessing a client who has left-sided heart failure. Which of the following findings should the nurse expect?

A nurse is caring for a client who has heart failure and a new prescription for furosemide. For which of the following adverse effects should the nurse monitor?

What happens in stage four of intracranial pressure?

A nurse plans care for the patient with increased intracranial pressure with the knowledge that the best way to position the patient is to