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 C

Explanation

A. Tachycardia is more commonly associated with early stages of shock or compensation but is not a specific sign of increased ICP.
B. Amnesia may occur with a traumatic brain injury, but it is not a direct sign of increased ICP.
C. Restlessness or agitation is an early sign of increased ICP, as the brain becomes more impaired due to pressure, leading to confusion and changes in behavior.
D. Hypotension is not typically associated with increased ICP. In fact, as ICP rises, there may be compensatory mechanisms that maintain blood pressure, and in later stages, the blood pressure may rise.

A. Hyperopia. B. Myopia C. Astigmatism D. Presbyopia

Correct Answer is B

Explanation

A. Hyperopia (farsightedness) causes difficulty seeing close objects.
B. Myopia, or nearsightedness, causes difficulty seeing distant objects clearly while nearby objects remain clear.
C. Astigmatism results in blurred vision at all distances due to an irregularly shaped cornea.
D. Presbyopia is age-related difficulty in focusing on near objects due to lens rigidity.

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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 a traumatic brain injury. Which of the following findings should the nurse identify as an indication of increased intracranial pressure (ICP)?

Correct Answer is C

Explanation

Which refractive error describes the vision of a patient for whom nearby objects are clear but objects at a distance are blurred?

Correct Answer is B

Explanation

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