When explaining normal intracranial pressure (ICP) balance to the patient's family, which three components would the nurse include?

Glucose level, BP, and brain tissue

BP, brain tissue, and cerebrospinal fluid

BP, brain tissue, body mass index

BP, brain tissue, and ventricles of the brain

Answer and Explanation

The Correct Answer is B

A.   Glucose level, BP, and brain tissue: Glucose level is not a key component of ICP balance.
B.   BP, brain tissue, and cerebrospinal fluid: These are the primary components that contribute to ICP balance. Changes in any of these can affect pressure inside the skull.
C.   BP, brain tissue, body mass index: BMI is not directly related to ICP balance.
D.   BP, brain tissue, and ventricles of the brain: The ventricles are involved in cerebrospinal fluid production but are not one of the primary components of ICP balance as a whole.

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Correct Answer is B

Explanation

A. Using child-like statements may be demeaning and does not support effective communication. It is
important to speak at the client’s level and provide respect.
B. Incorporating nonverbal cues, such as gestures, facial expressions, and pictures, can help facilitate understanding and communication with a person who has aphasia.
C. Using a higher-pitched tone of voice does not aid comprehension and may be perceived as patronizing.
D. Asking multiple-choice questions is helpful, but it is not the most general approach. Using clear, simple language with nonverbal cues is more beneficial.

A. "I won't be able to have drugs instill through this procedure." B. "I will have an internal transducer inserted into my head." C. "The healthcare provider won't be able to get samples of my cerebrospinal fluid." D. "It will directly measure the pressure within the ventricles of my brain."

Correct Answer is D

Explanation

A. A ventriculostomy involves inserting a catheter into the ventricles of the brain to monitor ICP, not a procedure for instilling drugs.
B. A ventriculostomy involves the insertion of a catheter to monitor ICP, not an internal transducer.
C. Cerebrospinal fluid (CSF) samples can be taken via ventriculostomy; the procedure does not prevent this.
D. A ventriculostomy measures the pressure within the brain’s ventricles to monitor intracranial
pressure, which is the correct understanding.

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When explaining normal intracranial pressure (ICP) balance to the patient's family, which three components would the nurse include?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who has aphasia following a stroke. A family member asks the nurse how she should communicate with the client. Which of the following responses by the nurse is appropriate?

Correct Answer is B

Explanation

After receiving pre procedural instructions, which patient statement demonstrates an understanding of a scheduled ventriculostomy?

Correct Answer is D

Explanation

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