Deck 11: Intracranial Regulation

Question 1

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

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

Answer 1

Clustering many nursing activities

Question 2

The nurse preparing to care for a patient after a suspected stroke would question an order for a(n)

A) antihypertensive.
B) antipyretic.
C) osmotic diuretic.
D) sedative.

Answer 2

antihypertensive.

Question 3

Primary prevention strategies to reduce the occurrence of head injuries would include

A) blood pressure control.
B) smoking cessation.
C) maintaining a healthy weight.
D) violence prevention.

Answer 3

violence prevention.

Question 4

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

A) electroencephalogram.
B) GCS.
C) National Institutes of Health Stroke Scale.
D) Monro-Kellie doctrine.

Question 5

Components of the GCS the nurse would use to assess a patient after a head injury include

A) blood pressure.
B) cranial nerve function.
C) head circumference.
D) verbal responsiveness.

Question 6

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

A) hypertension, and bradycardia.
B) hypertension, and tachycardia.
C) hypotension, and bradycardia.
D) hypotension, and tachycardia.

Question 7

The earliest and most sensitive assessment finding that would indicate an alteration in intracranial regulation would be

A) change in level of consciousness.
B) inability to focus visually.
C) loss of primitive reflexes.
D) unequal pupil size.