Practice Question
A nurse is caring for an adolescent who sustained a head injury and has severe increased intracranial pressure. Which finding should the nurse expect?
Answer Choices:
Correct Answer:
Hypertension
Rationale:
💠 Increased intracranial pressure (ICP) compresses cerebral vessels, reducing cerebral perfusion pressure (CPP).
💠 The body compensates by raising systemic blood pressure to maintain adequate cerebral blood flow — leading to hypertension.
💠 This forms part of Cushing’s triad: hypertension, bradycardia, and irregular respirations.
💠 Severe ICP can damage brainstem centers regulating autonomic functions, worsening outcomes if not treated promptly.
💠 Nursing management includes elevating the head of bed, avoiding neck flexion, and administering osmotic diuretics (mannitol)
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This question is from NR283_Quiz3A which contains 19 questions.
More Questions from This Exam
For a 24-year old client with hepatitis A, which of the following is the most likely etiological factor?
Answer Choices:
A. Eating shrimp at the local pub
B. Receiving a blood transfusion during surgery
C. Being sexually active
D. Contact with blood during work as a police officer
Which anatomic characteristic of females increases the chance of developing urinary tract infections?
Answer Choices:
A. Prostatic hypertrophy
B. Shortness of urethra
C. Urine pH
D. Bladder size
What causes a client with liver cirrhosis to develop ascites?
Answer Choices:
A. Decreased anti-diuretic hormone (ADH)
B. Decreased albumin
C. Decreased portal hypertension
D. Decreased aldosterone
Which is a characteristic of chronic pain?
Answer Choices:
A. It usually includes damage to a specific location
B. It often includes a physiological stress response
C. It usually features changes in vital signs
D. It is often difficult to diagnose and treat
Which statement about pain is true?
Answer Choices:
A. Pain is undetectable in comatose clients.
B. Pain is an objective sensory experience.
C. Pain in a well-understood concept.
D. Pain is a warning sign of a problem in the body
Question Details
- Category: RN Nursing Exam(s)
- Subcategory: Examplify Exam(s)
- Domain: Medical-Surgical
- Answer Choices: 4