Questions: You receive a call to a residence for a 6-year-old girl with a decreased level of consciousness. The child has hydrocephalus following surgery to remove a brain tumor and has a ventricular shunt in place. The child's level of consciousness is markedly decreased from its baseline, and the child's caregiver tells you that she thinks the shunt is obstructed. Which of the following sets of vital signs is most indicative of shunt obstruction and increased intracranial pressure? Blood pressure 130 / 68 mm Hg; pulse 70 beats / min; respirations 28 breaths/min Blood pressure 140 / 92 mm Hg; pulse 58 beats / min; respirations 8 breaths/min Blood pressure 90/50 mm Hg ; pulse 110 beats/min; respirations 10 breaths/min Blood pressure 106 / 66 mm Hg; pulse 80 beats/min; respirations 14 breaths/min

You receive a call to a residence for a 6-year-old girl with a decreased level of consciousness. The child has hydrocephalus following surgery to remove a brain tumor and has a ventricular shunt in place. The child's level of consciousness is markedly decreased from its baseline, and the child's caregiver tells you that she thinks the shunt is obstructed. Which of the following sets of vital signs is most indicative of shunt obstruction and increased intracranial pressure? Blood pressure 130 / 68 mm Hg; pulse 70 beats / min; respirations 28 breaths/min Blood pressure 140 / 92 mm Hg; pulse 58 beats / min; respirations 8 breaths/min Blood pressure 90/50 mm Hg ; pulse 110 beats/min; respirations 10 breaths/min Blood pressure 106 / 66 mm Hg; pulse 80 beats/min; respirations 14 breaths/min
Transcript text: You receive a call to a residence for a 6-year-old girl with a decreased level of consciousness. The child has hydrocephalus following surgery to remove a brain tumor and has a ventricular shunt in place. The child's level of consciousness is markedly decreased from its baseline, and the child's caregiver tells you that she thinks the spunt is obstructed. Which of the following sets of vital signs is most indicative of shunt obstruction and increased intracranial pressure? Blood pressure $130 / 68 \mathrm{~mm} \mathrm{Hg}$; pulse 70 beats $/ \mathrm{min}$; respirations 28 breaths/min Blood pressure $140 / 92 \mathrm{~mm} \mathrm{Hg}$; pulse 58 beats $/ \mathrm{min}$; respirations 8 breaths/min Blood pressure 90/50 mm Hg ; pulse 110 beats/min; respirations 10 breaths/min Blood pressure $106 / 66 \mathrm{~mm} \mathrm{Hg}$; pulse 80 beats/min; respirations 14 breaths/min
failed

Solution

failed
failed

The answer is the second one: Blood pressure 140/92 mm Hg; pulse 58 beats/min; respirations 8 breaths/min.

Explanation:

  1. Blood pressure 130/68 mm Hg; pulse 70 beats/min; respirations 28 breaths/min: This set of vital signs shows a normal pulse and slightly elevated respiratory rate, but it does not strongly indicate increased intracranial pressure (ICP) or shunt obstruction.

  2. Blood pressure 140/92 mm Hg; pulse 58 beats/min; respirations 8 breaths/min: This set of vital signs is most indicative of increased intracranial pressure. The combination of hypertension (elevated blood pressure), bradycardia (slow pulse), and irregular or decreased respirations is known as Cushing's triad, which is a classic sign of increased ICP.

  3. Blood pressure 90/50 mm Hg; pulse 110 beats/min; respirations 10 breaths/min: This set of vital signs indicates hypotension and tachycardia, which are not typical signs of increased ICP or shunt obstruction.

  4. Blood pressure 106/66 mm Hg; pulse 80 beats/min; respirations 14 breaths/min: These vital signs are within normal ranges and do not suggest increased ICP or shunt obstruction.

In summary, the second option is the most indicative of shunt obstruction and increased intracranial pressure due to the presence of Cushing's triad.

Was this solution helpful?
failed
Unhelpful
failed
Helpful

Questions asked by other users

failedAnswered
Select the best answer for the question. 17. Technician A says that the piston's most important function is to transfer the force produced by the burning air-and-fuel mixture into usable power. Technician B says that the piston size is used to help form a seal between the piston and the cylinder walls. Who is right? A. Technician A only B. Both Technicians A and B C. Neither Technician A nor B D. Technician B only
failedAnswered
Trial Exp v1f (m / s) Acc V1f (m / s) % Error Exp v2f (m / s) Acc v2f (m / s) % Error ml=m 2 1.00 2.00 0 0 ml>m 2 2.00 2.00 0 0 m 1<m 2 1.00 1.00 N/A N/A
failedAnswered
Chapter 7 - Internal Control and CengageNOWv2 Online teachin PRE-TEST Problem #14 of 19 An NSF check appears on the bank statement as a 13 14 a. debit memorandum that decreases the account balance. 15 b. credit memorandum that increases the account balance. c. debit memorandum that increases the account balance. 16 d. credit memorandum that decreases the account balance.
failedAnswered
m=(y2-y1)/(x2-x1) so (6-2)/(-4-2)=-4/6
failedAnswered
app.aktiv.com Question 9 of 15 What is the atomic number for an element whose mass number is 78 , which contains 38 neutrons per atom?