MRCP UK EXAMINATIONS

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NEUROLOGY

HEMIPARESIS

Question [CLICK ON ANY CHOICE TO KNOW THE RIGHT ANSWER]
The critical care nurse is caring for a client with bacterial meningitis. The client has developed cerebral vasculitis and increased ICP. What neurologic sequelae might this client develop?
A
Damage to the facial nerve
B
Damage to the optic nerve
C
Damage to the olfactory nerve
D
Damage to the vagal nerve
Explanation: 

Detailed explanation-1: -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-2: -The Answer Late signs of intracranial pressure that comprise Cushing triad include hypertension with a widening pulse pressure, bradycardia, and abnormal respiration.

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: -Headache. Blurred vision. Feeling less alert than usual. Vomiting. Changes in your behavior. Weakness or problems with moving or talking. Lack of energy or sleepiness.

There is 1 question to complete.
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