Which components can affect a patient's increased intracranial pressure?
Blood
Brain tissue
Hematoma
Synovial fluid
Cerebrospinal fluid correct answers Blood
Brain Tissue
Hematoma
Cerebrospinal fluid
The nurse is caring for a patient with increased ICP after a motor vehicle collision. Which
physical assessment findings would be a late sign of herniation into the brainstem?
Syncopal episodes
Nausea and vomiting
Sustained periods of apnea
Severe pain in the occipital area correct answers Sustained periods of apnea
Apnea is a late sign of herniation into the brain stem. If compression of the brain stem is
unrelieved, the patient will suffer respiratory arrest.
Which physiologic event leads to decreased oxygen and death of the brain cells?
Tissue edema
Excessive hydration
Decreased cerebral blood flow
Accumulation of carbon dioxide correct answers Decreased cerebral blood flow
Decreased cerebral blood flow from compression of cerebral blood vessels leads to decreased
oxygen and brain tissue death.
, Which diagnostic studies would be performed in order to determine whether internal bleeding is
present in a patient with increased intracranial pressure?
MRI
Burr hole
Craniotomy
Infrascanner
Toxicology screen correct answers MRI
MRI provides an image of the brain to determine if bleeding or a mass is present in the brain.
Infrascanner
An infrascanner can be used to detect intracranial bleeding.
The nurse is caring for a patient with headache, blurred vision, nausea, and vomiting after being
struck with a baseball bat during a game. The nurse notes elevated blood pressure and confusion.
CT reveals a subdural hematoma. Which provider order would the nurse implement first?
Administer Lasix 4 mg
Prep patient for cranioplasty
Prep patient scalp for burr holes
Administer IV normal saline bolus correct answers Prep patient scalp for burr holes
The nurse would anticipate the need to create burr holes to evacuate blood from the subdural
hematoma.
A patient with increased intracranial pressure is being treated. Which medications can be given
simultaneously in order to decrease this patient's increased ICP?
Morphine
Mannitol
Protonix
Acetaminophen