Which position would the nurse utilize when repositioning a patient who has an increased intracranial pressure (ICP)?

Sims'

Trendelenburg

Prone

Semi-fowler's

Answer and Explanation

The Correct Answer is D

A. Sims' position is primarily used for rectal exams and enemas, and does not specifically help reduce ICP.
B. Trendelenburg position (head lower than feet) can increase ICP and is contraindicated.
C. Prone position can increase intracranial pressure due to impaired venous drainage.
D. Semi-Fowler’s position (head elevated 30–45 degrees) promotes venous drainage from the brain, helping to reduce ICP and improve patient comfort.

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Correct Answer is C

Explanation

A. Migraine history does not increase the risk of bleeding or hematoma formation following head trauma.
B. Antihypertensive medications manage blood pressure but do not directly increase the risk of bleeding into the brain.
C. Older adults, especially those on anticoagulants, are at higher risk of developing subdural hematomas due to increased cerebral atrophy and impaired clotting, which makes even minor head trauma potentially life-threatening.
D. While concussions are concerning, a young, otherwise healthy individual is at lower risk of developing a subdural hematoma compared to an elderly patient on anticoagulants.

A. Falls B. Sporting accidents C. Motor vehicle accidents D. Gunshot wounds

Correct Answer is A

Explanation

A. Falls are the leading cause of spinal cord injuries in older adults due to factors like decreased balance, muscle weakness, and osteoporosis.
B. Sporting accidents are more common causes of spinal injuries in younger populations.
C. Motor vehicle accidents are a common cause overall but less so in the elderly compared to falls.
D. Gunshot wounds are a less common cause of spinal cord injuries in older adults.

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Which position would the nurse utilize when repositioning a patient who has an increased intracranial pressure (ICP)?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Which patient is the nurse most concerned with developing a subdural hematoma following an injury that resulted with a blow to the head?

Correct Answer is C

Explanation

nurse is teaching a group of nursing students about spinal cord injuries in clients who are aged 65 years and older. Which of the following should the nurse identify as the most common cause of spinal cord injuries for this age group?

Correct Answer is A

Explanation

The nurse is caring for a client who has cerebral edema. Which of the following therapies should the nurse recognize as appropriate for the treatment of cerebral edema? (Select All that Apply.)

Which position would the nurse utilize when repositioning a patient who has an increased intracranial pressure (ICP)?

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