Which of the following would have the physiological effect of decreasing intracranial pressure (ICP)?
Answer(s): D
(A) An increase in core body temperature increases metabolism and results in an increase in ICP. (B) Decreased serum osmolality indicates a fluid overload and may result in an increase in ICP. (C) Hypo-osmolar fluids are generally voided in the neurologically compromised. Using IV fluids such as D5W results in the dextrose being metabolized, releasing free water that is absorbed by the brain cells, leading to cerebral edema. (D) Hypercapnia and hypoventilation, which cause retention of CO2 and lead to respiratory acidosis, both increase ICP. CO2 is the most potent vasodilator known.
Which of the following activities would be most appropriate during occupational therapy for a client with bipolar disorder?
Answer(s): C
(A) This activity is too competitive, and the manic client might become abusive toward the other clients. (B) During mania, the client's attention span is too short to accomplish this task. (C) This activity uses gross motor skills, eases tension, and expands excess energy. A staff member is better equipped to interact therapeutically with clients. (D) This activity requires the use of fine motor skills and is very tedious.
Post your Comments and Discuss NCLEX NCLEX-RN exam with other Community members:
Naveen Ahlam commented on November 29, 2024 Great stuff Anonymous upvote
Isadora Guimarães commented on November 10, 2024 Very good to study UNITED STATES upvote
Marydee commented on April 02, 2020 Just purchased, will see if it is the real deal. Will give a further update later! Anonymous upvote