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Q 1/6
Score 0
The nurse is managing the blood pressure of a patient with a traumatic brain injury. When planning the care of this patient, which statement best represents appropriate blood pressure management?
60
Hypertension greater than 160 mm Hg is necessary to achieve adequate perfusion
Cerebral perfusion pressure (CPP) should be sustained at least 70 mm Hg
Nimodipine reduces blood pressure through its effect on cerebral vessels
Nitrates are the vasopressors of choice with increased ICP
Q 2/6
Score 0
The nurse is monitoring a patient’s intracranial pressuere (ICP). While the nurse is providing hygiene measures, she observes that the ICP reading is sustained at 18 mm Hg. What is the priority nursing action?
60
Continue with hygiene measures
Open the ICP monitor to continuous drainage
Lower the head of the bed to 10 degrees
Cease stimulating the patient
6 questions
Q.
The nurse is managing the blood pressure of a patient with a traumatic brain injury. When planning the care of this patient, which statement best represents appropriate blood pressure management?
1
60 sec
Q.
The nurse is monitoring a patient’s intracranial pressuere (ICP). While the nurse is providing hygiene measures, she observes that the ICP reading is sustained at 18 mm Hg. What is the priority nursing action?
2
60 sec
Q.
Which statement best represents optimal fluid administration for the management of increased intracranial pressure?
3
60 sec
Q.
The nurse is caring for a patient with a ruptured cerebral aneurysm. During initial assessment, the nurse notes that the cerebrospinal fluid draining into a ventriculostomy system is blood tinged. What is the best interpretation of this finding by the nurse?
4
60 sec
Q.
The nurse is caring for a patient with a head injury. If autoregulation is lost, what should the nurse be most concerned for?
5
60 sec
Q.
The nurse is educating a new RN on the therapeutic effect of head-of-the-bed elevation and neutral head and neck alignment on a patient with increased intracranial pressure (ICP). Which statement by the new RN indicates that teaching has been effective?
