MRCP UK EXAMINATIONS

NEUROLOGY

HEMIPARESIS

Question [CLICK ON ANY CHOICE TO KNOW THE RIGHT ANSWER]
The community health nurse is conducting a home visit with a client who was discharged from hospital 3 days ago after surgical resection of a brain tumor and radiation therapy. The client is accompanied by his partner during the nurse’s visit. During the visit, the client’s partner becomes tearful. How should the nurse respond?
A
“Going through this experience with your partner has been very difficult for you, I’m sure. Can you tell me about your experience so far?”
B
“Many caregivers experience burnout. Are you experiencing symptoms depression and anxiety?”
C
“Sometimes people are unhappy about the way they were treated in the hospital. Were you happy with the care your partner received in the hospital?”
D
“It is okay to say you give up. Are you worried you will not be able to continue to provide care for your partner?”
Explanation: 

Detailed explanation-1: -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-2: -Activities that can increase ICP should be avoided. These activities include suctioning, coughing, vomiting, and compression of jugular veins. Patient care should not be clustered, as this may also cause an increase in ICP. A ventriculostomy can be used to continuously monitor a patient’s intracranial pressure.

Detailed explanation-3: -A steroid such as dexamethasone is the most common medication prescribed to brain tumor patients to control cerebral edema and in turn manage symptoms.

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.

There is 1 question to complete.