Acute Intracranial Problems Paper
outcome at the beginning of the chapter.
1. Vasogenic cerebral edema increases intracranial pressure by
a. shifting fluid in the gray matter.
b. altering the endothelial lining of cerebral capillaries.
c. leaking molecules from the intracellular fluid to the capillaries.
d. altering the osmotic gradient flow into the intravascular
2. A patient with intracranial pressure monitoring has a pressure of
12 mm Hg. The nurse understands that this pressure reflects
a. a severe decrease in cerebral perfusion pressure.
b. an alteration in the production of cerebrospinal fluid.
c. the loss of autoregulatory control of intracranial pressure.
d. a normal balance between brain tissue, blood, and cerebrospinal
3. A nurse plans care for the patient with increased intracranial pressure with the knowledge that the best way to position the patient
a. keep the head of the bed flat.
b. elevate the head of the bed to 30 degrees.
c. maintain the patient on the left side with the head supported on a
d. use a continuous-rotation bed to continuously change patient
4. The nurse is alerted to a possible acute subdural hematoma in the
a. has a linear skull fracture crossing a major artery.
b. has focal symptoms of brain damage with no recollection of a
c. develops the decreased level of consciousness and a headache within
48 hours of a head injury.
d. has an immediate loss of consciousness with a brief lucid interval followed by decreasing level of consciousness.
5. During admission of a patient with a severe head injury to the
emergency department, the nurse places the highest priority on
a. patency of the airway.
b. presence of a neck injury.
c. neurologic status with the Glasgow Coma Scale.
d. cerebrospinal fluid leakage from the ears or nose.
All the Best!!!!!!!!!!!!!!!!!!!!!
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