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 B
Explanation
Choice A rationale
Lordosis is an exaggerated inward curvature of the lumbar spine. It is commonly seen in pregnant women, individuals with obesity, or those with weak abdominal muscles. Lordosis is not characterized by an increased thoracic curvature.
Choice B rationale
Kyphosis is an exaggerated outward curvature of the thoracic spine, often resulting in a hunched or rounded back. It is commonly seen in older adults due to osteoporosis, degenerative disc disease, or poor posture. Kyphosis is the correct diagnosis for increased thoracic curvature.
Choice C rationale
Scoliosis is a lateral curvature of the spine, often resembling an "S" or "C" shape when viewed from behind. It can occur in any part of the spine but does not specifically describe an increased thoracic curvature.
Choice D rationale
Epiphyses refer to the growth plates at the ends of long bones in children and adolescents. They are not related to spinal curvature or any spinal disorder. .
Correct Answer is A
Explanation
Choice A rationale
The frontal lobe is responsible for various high-level cognitive functions, including the regulation of emotions and affect. It plays a crucial role in personality expression, decision-making, and moderating social behavior. Damage or dysfunction in the frontal lobe can lead to changes in personality and affect, including a flat affect.
Choice B rationale
The occipital lobe is primarily responsible for processing visual information. It is located at the back of the brain and is not involved in regulating emotions or affect. Therefore, it does not play a role in the client’s flat affect.
Choice C rationale
The parietal lobe is involved in processing sensory information such as touch, temperature, and pain. It also plays a role in spatial orientation and motor control. However, it is not directly involved in regulating emotions or affect. Thus, it does not contribute to the client’s flat affect.
Choice D rationale
The temporal lobe is involved in processing auditory information and is critical for memory and language comprehension. While it plays a role in emotion processing, it is not the primary lobe responsible for affect. The frontal lobe has a more direct impact on emotional regulation and affect.
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