Intracranial pre - Study guides, Class notes & Summaries

The nurse is assessing the motor function of an unconscious client. The nurse would plan to use which of the following to test the client's peripheral response to pain: a. pressure on the orbital rim b. nail bed pressure c. sternal rub d. squeezing the sternocleidomastoid muscle - b. nail bed pressure * motor testing on the unconscious client can be done only by testing response to painful stimuli. *Nail bed pressure tests peripheral response to pain. *Cerebral responses to pain are test...

Monro-Kellie doctrine - Three components (brain tissue, blood, CSF) must remain at a relatively constant volume within the skull. These three components maintain ICP. Which components can affect a patient's increased intracranial pressure? Select all that apply. -Blood -Brain tissue -Hematoma -Synovial fluid -Cerebrospinal fluid - -Blood Blood is a component housed in the skull. The balance among the three components housed in the skull maintains the intracranial pressure. -Brain tis...

Kate with severe head injury is being monitored by the nurse for increasing intracranial pressure (ICP). Which finding should be most indicative sign of increasing intracranial pressure? A. Tachypnea B. Increased Restlessness C. Intermittent tachycardia D. Polydipsia - B. increased restlessness Restlessness indicates a lack of oxygen to the brain stem which impairs the reticular activating system. A male client is brought to the emergency department due to motor vehicle accident. While mo...

Increased Intracranial Pressure All Answers Correct What is Intracranial Pressure? ️The cranium has three comparements: 80% the brain, 10% blood and 10% CSF. Intracranial pressure is the pressure exerted within the cranium by these contents. Pressure usually ranges from 5-15mmHg. Monro-Kellie hypothesis ️The pressure-volume relationship between ICP, volume of CSF, blood, and brain tissue, and cerebral perfusion pressure (CPP) is known as the Monro-Kellie doctrine or the Monro Kel...

Increased Intracranial Pressure (ICP) NCLEX Exam Questions with 100% Correct Answers 1. Select the main structures below that play a role with altering intracranial pressure: A. Brain B. Neurons C. Cerebrospinal Fluid D. Blood E. Periosteum

2023 HESI EXIT EXAM Version 2 NGN /Maternity and Peds QUESTIONS AND ANSWERS 1. The school nurse is screening students for scoliosis and notes that one student has Lordosis. Which finding should the nurse document in the student screening record? A. excessive concave curvature of the lumbar spine 1. A client is admitted to the intensive care unit with diabetes insipidus due to a pituitary gland tumor. Which potential complication should the nurse monitor closely? a. Hypokalemia ...

Increased Intracranial Pressure (ICP) NCLEX Questions With Complete Solutions.

Increased Intracranial Pressure (ICP) NCLEX 2022 Questions and Answers

INCREASED INTRACRANIAL PRESSURE(ICP) SUMARRIZED NOTES NEW 2024-25 INCREASED INTRACRANIAL PRESSURE(ICP) SUMARRIZED NOTES NEW 2024-25 The brain, tightly enclosed in the solid bony cranium, is well protected but highly vulnerable to pressure that may accumulate within the enclosure. Its total volume—brain (80%), CSF (10%), and blood(10%)—must remain approximately the same at all times. The Causes: An increase in ICP may be caused by tumors or other space-occupying lesions, accumulatio...

Increased Intracranial Pressure Questions & Answers 1. Increased ICP - ANS-Common in many neurologic problems 2. Compensation for Increased ICP - ANS-Body shifts more CSF to spinal cavity & increases venous return from brain 3. Early Sign of Increased ICP - ANS-Altered level of consciousness or decreased responsiveness (lethargy) 4. Early Sign of Increased ICP - ANS-Decreased pupillary responses 5. Early Sign of Increased ICP - ANS-Toes fan out when foot is stimulated (Babinski reflex) ...