What is one of the earliest signs of increased intracranial pressure (ICP)?
Cushing triad.
Decreased level of consciousness (LOC).
Headache.
Coma.
The Correct Answer is B
Choice A rationale
Cushing triad is a late sign of increased ICP, characterized by bradycardia, hypertension, and irregular respirations, appearing after other symptoms like decreased LOC.
Choice B rationale
Decreased LOC is one of the earliest signs of increased ICP as it reflects the brain's response to pressure changes, alerting the need for immediate intervention.
Choice C rationale
Headache can be an early sign but is not as sensitive or specific as changes in LOC when assessing for increased ICP.
Choice D rationale
Coma is a late sign of significantly increased ICP, indicating severe brain dysfunction, often following initial symptoms like decreased LOC.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A rationale
Encouraging adequate water intake by the client is a general recommendation for maintaining hydration but does not address the client's fear of the EEG procedure, nor does it dispel misconceptions about electrical shock.
Choice B rationale
Distracting the client's attention from the test may provide temporary relief from anxiety but does not address or correct the client's specific fear related to being electrocuted during the EEG procedure.
Choice C rationale
Informing the client that they will not experience any electrical shock is crucial in dispelling the client's fear. An EEG measures electrical activity in the brain using sensors on the scalp; it does not involve delivering electrical shocks to the client.
Choice D rationale
Informing the client that they will experience only mild electrical shock is incorrect and could increase the client's fear. An EEG does not administer any form of electrical shock to the client; it is a non-invasive and painless procedure.
Correct Answer is ["B","C","D"]
Explanation
Choice A rationale
Improving school hygiene is essential for overall health but is not a direct method for preventing and controlling an outbreak of pediculosis. Lice infestations require specific targeted actions to be effectively managed, such as treating those infested and cleaning their belongings.
Choice B rationale
Insisting that everyone who is infested with lice follows the prescribed treatment is crucial for controlling the outbreak. Effective treatment eradicates lice and prevents their spread to others. Consistency in following the prescribed regimen is essential for successful management.
Choice C rationale
Washing clothing and vacuuming furniture, bedding, and carpets are vital steps in controlling lice outbreaks. Lice can survive on these items, leading to reinfestation. Thorough cleaning removes lice and their eggs, helping to prevent the spread and recurrence of infestation.
Choice D rationale
Performing hair inspection helps identify individuals who are infested with lice. Early detection allows for prompt treatment, which is critical in preventing the spread of lice to others. Regular inspections are a proactive measure in managing and controlling outbreaks.
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