Intracranial Regulation

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Question 1
Free
Multiple Choice

The nurse is caring for a patient with increased intracranial pressure. Which action is considered unsafe?

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A

Aligning the neck with the body

B

Clustering many nursing activities

C

Elevating the head of the bed 30 degrees

D

Providing stool softeners or laxatives as ordered

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Question 2
Free
Multiple Choice

Which assessment finding would be the earliest and most sensitive indicator that there is an alteration in intracranial regulation?

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A

Change in level of consciousness

B

Inability to focus visually

C

Loss of primitive reflexes

D

Unequal pupil size

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Question 3
Free
Multiple Choice

When caring for a patient after a head injury, the nurse would be most concerned with assessment findings which included respiratory changes along with what other findings?

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A

Hypertension and bradycardia

B

Hypertension and tachycardia

C

Hypotension and bradycardia

D

Hypotension and tachycardia

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Question 4
Free
Multiple Choice

Components of the Glasgow Coma Scale (GCS) the nurse would use to assess a patient after a head injury include which assessment?

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A

Blood pressure

B

Cranial nerve function

C

Head circumference

D

Verbal responsiveness

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Question 5
Free
Multiple Choice

The nurse should teach a patient that which is a primary prevention strategy to reduce the occurrence of head injuries?

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A

Blood pressure control

B

Smoking cessation

C

Maintaining a healthy weight

D

Violence prevention

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Question 6
Multiple Choice

The nurse preparing to care for a patient after a suspected stroke would question which order?

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A
Antihypertensive
B
Antipyretic
C
Osmotic diuretic
D
Sedative
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Question 7
Multiple Choice

After shunt procedure, the nurse would monitor the patient's neurologic status by using which test?

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A
Electroencephalogram
B
Glasgow Coma Scale
C
National Institutes of Health Stroke Scale
D
Monro-Kellie doctrine
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