Solutions
On which of the following findings is the clinical diagnosis of
dementia based?
patient history and cognitive assessment
what is the major goal of treatment for the client with dementia?
maintain safety
The nurse understands that an intracranial pressure of 12 mm Hg
reflects which of the following?
an alteration in the production of cerebrospinal fluid
Vasogenic cerebral edema increases intracranial pressure by
which of the following effects?
Altering the osmotic gradient flow into the intravascular
component
A nurse caring for a client with increased intracranial pressure
knows that the best way to position the client is in which of the
following?
Elevate the head of the bed 30 degrees
, The nurse is alerted to a possible acute subdural hematoma in
the client who has which of the following symptoms?
Decreased level of consciousness and a headache within 48
hours of head injury
A client is suspected of having an intracranial tumour. The signs
and symptoms include memory deficits, visual disturbances,
weakness of right and left lower extremities, and personality
changes. The nurse recognizes that the tumour is the most likely
located in which of the following areas?
The frontal lobe
The nurse on the clinical unit is assigned four clients. What
client should the nurse assess first?
The client with meningitis who is suddenly agitated and
reporting a headache of 10 on a 0-10 scale
Which of the following nursing measures is indicated to reduce
the potential for seizures and increased intracranial pressure in
the client with bacterial meningitis?
Controlling fever with prescribed medications and cooling
techniques