A patient is demonstrating neurologic changes consistent with increasing intracranial pressure
For which primary causes of this pressure increase will the nurse assess at this time? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply. 1. Cerebral hemorrhage
2. Ischemic stroke
3. Airway obstruction
4. Drop in blood pressure
5. Electrolyte imbalance
1,2
Rationale 1: Cerebral hemorrhage is a primary cause of increased intracranial pressure.
Rationale 2: Ischemic stroke is a primary cause of increased intracranial pressure.
Rationale 3: Airway obstruction is a secondary cause of increased intracranial pressure.
Rationale 4: Hypotension is a secondary cause of increased intracranial pressure.
Rationale 5: Electrolyte imbalances indicate metabolic disorders, which are secondary causes of increased intracranial pressure.
You might also like to view...
A 10-year-old child has had a sunken chest since birth, but has recently been noted to have activity intolerance when playing. Which diagnostic testing does the nurse teach the child and parents about? (Select all that apply.)
A. Chest x-ray B. Chromosome analysis C. ECG and echocardiogram D. Pulmonary function studies E. Ultrasound of the chest
To help decrease the threat of a melanoma in a client at risk, the nurse would suggest that the client's diet should include
a. fish oil capsules. b. lemon grass tea. c. oatmeal. d. red meat.
How do protease inhibitor (PI) drugs prevent viral replication?
a. They are counterfeit bases that prevent reverse transcriptase from synthesizing the DNA needed for viral replication. b. They inactivate the enzyme that allows the viral genetic material to be integrated into the human host's cellular DNA. c. They prevent the production of proteins needed for viral particles to leave the cell and infect other cells. d. They prevent initial infection by blocking the receptor the virus uses to enter target cells.
A psychiatric nurse is working with a client who frequently makes remarks such as, "I know my boss is setting me up to be fired; she just won't admit it to me"
When the nurse calls this client to cancel a counseling appointment due to an emergency with another client, this client tells the nurse, "You really don't want to meet with me, do you? You don't like me very much." This client is MOST likely diagnosed with: a. obsessive-compulsive personality disorder b. paranoid personality disorder c. schizoid personality disorder d. schizotypal personality disorder