This topic contains a solution. Click here to go to the answer

Author Question: A client's mean arterial pressure is 60 mm Hg and intracranial pressure is 20 mm Hg. Based on the ... (Read 84 times)

meagbuch

  • Hero Member
  • *****
  • Posts: 568
A client's mean arterial pressure is 60 mm Hg and intracranial pressure is 20 mm Hg. Based on the client's cerebral perfusion pressure, what should the nurse anticipate for this client?
 
  a. Impending brain herniation
  b. Poor prognosis and cognitive function
  c. Probable complete recovery
  d. Unable to tell from this information

Question 2

A client with a stroke has damage to Broca's area. What intervention to promote communication is best for this client?
 
  a. Assess whether or not the client can write.
  b. Communicate using yes-or-no questions.
  c. Reinforce speech therapy exercises.
  d. Remind the client not to use neologisms.



Related Topics

Need homework help now?

Ask unlimited questions for free

Ask a Question
Marked as best answer by a Subject Expert

catron30

  • Sr. Member
  • ****
  • Posts: 297
Answer to Question 1

ANS: B
The cerebral perfusion pressure (CPP) is the intracranial pressure subtracted from the mean arterial pressure: in this case, 60 - 20 = 40. For optimal outcomes, CPP should be at least 70 mm Hg. This client has very low CPP, which will probably lead to a poorer prognosis with significant cognitive dysfunction should the client survive. This data does not indicate impending brain herniation or complete recovery.

Answer to Question 2

ANS: A
Damage to Broca's area often leads to expressive aphasia, wherein the client can understand what is said but cannot express thoughts verbally. In some instances the client can write. The nurse should assess to see if that ability is intact. Yes-or-no questions are not good for this type of client because he or she will often answer automatically but incorrectly. Reinforcing speech therapy exercises is good for all clients with communication difficulties. Neologisms are made-up words often used by clients with sensory aphasia.




meagbuch

  • Member
  • Posts: 568
Reply 2 on: Jun 25, 2018
:D TYSM


Jsherida

  • Member
  • Posts: 314
Reply 3 on: Yesterday
Wow, this really help

 

Did you know?

The human body produces and destroys 15 million blood cells every second.

Did you know?

Despite claims by manufacturers, the supplement known as Ginkgo biloba was shown in a study of more than 3,000 participants to be ineffective in reducing development of dementia and Alzheimer’s disease in older people.

Did you know?

Adults are resistant to the bacterium that causes Botulism. These bacteria thrive in honey – therefore, honey should never be given to infants since their immune systems are not yet resistant.

Did you know?

Chronic necrotizing aspergillosis has a slowly progressive process that, unlike invasive aspergillosis, does not spread to other organ systems or the blood vessels. It most often affects middle-aged and elderly individuals, spreading to surrounding tissue in the lungs. The disease often does not respond to conventionally successful treatments, and requires individualized therapies in order to keep it from becoming life-threatening.

Did you know?

Normal urine is sterile. It contains fluids, salts, and waste products. It is free of bacteria, viruses, and fungi.

For a complete list of videos, visit our video library