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Head Trauma Verified and Updated
Questions and Answers (100% Correct
Answers)
A client with a traumatic brain injury is showing early signs of increasing intracranial
pressure (ICP). While planning care for this client, what would be the priority
expected outcome?
Answer: Maintains a patent airway
A client is transferred to the intensive care unit after evacuation of a subdural
hematoma. Which nursing intervention reduces the client's risk of increased
intracranial pressure (ICP)?
Answer: Administering a stool softener as ordered
A nurse is monitoring a client for increasing intracranial pressure (ICP). Early signs of
increased ICP include:
Answer: diminished responsiveness.
The nurse is caring for a patient postoperatively after intracranial surgery for the
treatment of a subdural hematoma. The nurse observes an increase in the patient's
blood pressure from the baseline and a decrease in the heart rate from 86 to 54. The
patient has crackles in the bases of the lungs. What does the nurse suspect is
occurring?
Answer: Increased ICP
A female patient is receiving hypothermic treatment for uncontrolled fevers related
to increased intracranial pressure (ICP). Which of the following assessment finding
requires immediate intervention?
Answer: Shivering
The nurse is caring for a patient in the neurologic ICU who sustained head trauma in
a physical altercation. What would the nurse know is an optimal range of ICP for this
patient?
Answer: 0 to 10 mm Hg
When obtaining the vital signs of a client with multiple traumatic injuries, a nurse
detects bradycardia, bradypnea, and systolic hypertension. The nurse must notify
the physician immediately because these findings may reflect which complication?
Answer: Increased intracranial pressure (ICP)
Which of the following is the earliest sign of increasing ICP?
Answer: Change in level of consciousness (LOC)
, Inquire through: | Professional | Confidential Support
A patient is admitted to the hospital with an ICP reading of 20 mm Hg and a mean
arterial pressure of 90 mm Hg. What would the nurse calculate the CPP to be?
Answer: 70 mm Hg
A female client is being treated for increased intracranial pressure (ICP). Why should
the nurse ensure that the client does not develop hypothermia? Choose the correct
option.
Answer: Because shivering in hypothermia can increase ICP
A nurse is caring for a client with a brain tumor and increased intracranial pressure
(ICP). Which intervention should the nurse include in the care plan to reduce ICP?
Answer: Administer stool softeners.
An osmotic diuretic, such as mannitol, is given to the patient with increased
intracranial pressure (IICP) for which of the following reasons?
Answer: To dehydrate the brain and reduce cerebral edema
Which of the following is the earliest sign of increasing ICP?
Answer: Change in level of consciousness
client was running along an ocean pier, tripped on an elevated area of the decking,
and struck his head on the pier railing. According to his friends, "He was
unconscious briefly and then became alert and behaved as though nothing had
happened." Shortly afterward, he began complaining of a headache and asked to be
taken to the emergency department. If the client's intracranial pressure (ICP) is
increasing, the nurse should expect to observe which sign first?
Answer: Declining level of consciousness (LOC)
Which of the following positions are employed to help reduce intracranial pressure
(ICP)?
Answer: Avoiding flexion of the neck with use of a cervical collar
The nurse is caring for a patient with increased ICP. As the pressure rises, what
osmotic diuretic does the nurse prepare to administer?
Answer: Mannitol+
A client is receiving intravenous (IV) mannitol to prevent increased intracranial
pressure. The order is for mannitol 1.5 grams per kg of body weight IV now. The
client weighs 143 lbs. How many grams will the nurse administer to the client? Enter
the correct number ONLY.
Answer: 97.5
Head Trauma Verified and Updated
Questions and Answers (100% Correct
Answers)
A client with a traumatic brain injury is showing early signs of increasing intracranial
pressure (ICP). While planning care for this client, what would be the priority
expected outcome?
Answer: Maintains a patent airway
A client is transferred to the intensive care unit after evacuation of a subdural
hematoma. Which nursing intervention reduces the client's risk of increased
intracranial pressure (ICP)?
Answer: Administering a stool softener as ordered
A nurse is monitoring a client for increasing intracranial pressure (ICP). Early signs of
increased ICP include:
Answer: diminished responsiveness.
The nurse is caring for a patient postoperatively after intracranial surgery for the
treatment of a subdural hematoma. The nurse observes an increase in the patient's
blood pressure from the baseline and a decrease in the heart rate from 86 to 54. The
patient has crackles in the bases of the lungs. What does the nurse suspect is
occurring?
Answer: Increased ICP
A female patient is receiving hypothermic treatment for uncontrolled fevers related
to increased intracranial pressure (ICP). Which of the following assessment finding
requires immediate intervention?
Answer: Shivering
The nurse is caring for a patient in the neurologic ICU who sustained head trauma in
a physical altercation. What would the nurse know is an optimal range of ICP for this
patient?
Answer: 0 to 10 mm Hg
When obtaining the vital signs of a client with multiple traumatic injuries, a nurse
detects bradycardia, bradypnea, and systolic hypertension. The nurse must notify
the physician immediately because these findings may reflect which complication?
Answer: Increased intracranial pressure (ICP)
Which of the following is the earliest sign of increasing ICP?
Answer: Change in level of consciousness (LOC)
, Inquire through: | Professional | Confidential Support
A patient is admitted to the hospital with an ICP reading of 20 mm Hg and a mean
arterial pressure of 90 mm Hg. What would the nurse calculate the CPP to be?
Answer: 70 mm Hg
A female client is being treated for increased intracranial pressure (ICP). Why should
the nurse ensure that the client does not develop hypothermia? Choose the correct
option.
Answer: Because shivering in hypothermia can increase ICP
A nurse is caring for a client with a brain tumor and increased intracranial pressure
(ICP). Which intervention should the nurse include in the care plan to reduce ICP?
Answer: Administer stool softeners.
An osmotic diuretic, such as mannitol, is given to the patient with increased
intracranial pressure (IICP) for which of the following reasons?
Answer: To dehydrate the brain and reduce cerebral edema
Which of the following is the earliest sign of increasing ICP?
Answer: Change in level of consciousness
client was running along an ocean pier, tripped on an elevated area of the decking,
and struck his head on the pier railing. According to his friends, "He was
unconscious briefly and then became alert and behaved as though nothing had
happened." Shortly afterward, he began complaining of a headache and asked to be
taken to the emergency department. If the client's intracranial pressure (ICP) is
increasing, the nurse should expect to observe which sign first?
Answer: Declining level of consciousness (LOC)
Which of the following positions are employed to help reduce intracranial pressure
(ICP)?
Answer: Avoiding flexion of the neck with use of a cervical collar
The nurse is caring for a patient with increased ICP. As the pressure rises, what
osmotic diuretic does the nurse prepare to administer?
Answer: Mannitol+
A client is receiving intravenous (IV) mannitol to prevent increased intracranial
pressure. The order is for mannitol 1.5 grams per kg of body weight IV now. The
client weighs 143 lbs. How many grams will the nurse administer to the client? Enter
the correct number ONLY.
Answer: 97.5
