MRCP UK EXAMINATIONS

NEUROLOGY

HEMIPARESIS

Question [CLICK ON ANY CHOICE TO KNOW THE RIGHT ANSWER]
A nurse is monitoring a client for increasing intracranial pressure (ICP). Early signs of increased ICP include:
A
diminished responsiveness.
B
decreasing blood pressure.
C
pupillary changes.
D
elevated temperature
Explanation: 

Detailed explanation-1: -Clinical suspicion for intracranial hypertension should be raised if a patient presents with the following signs and symptoms: headaches, vomiting, and altered mental status varying from drowsiness to coma.

Detailed explanation-2: -These are the most common symptoms of an ICP: Headache. Blurred vision. Feeling less alert than usual.

Detailed explanation-3: -The answer is C. A ventriculostomy is a catheter inserted in the area of the lateral ventricle to assess ICP. It will help drain CSF during increase pressure readings and measure ICP. The nurse must monitor for ICP levels greater than 20 mmHg and report it to the doctor.

Detailed explanation-4: -Nursing Interventions Interventions to lower or stabilize ICP include elevating the head of the bed to thirty degrees, keeping the neck in a neutral position, maintaining a normal body temperature, and preventing volume overload. The patient must be stabilized before transport to radiology for brain imaging.

There is 1 question to complete.