University revision · Nursing Leadership and Management

Quality Assurance in Nursing

Question 1 of 11 Course: Nursing(Degree)

Match the quality element: 'Knowledge and skills needed to provide quality and safe health care' matches which term?

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When assessing for increased intracranial pressure (ICP), vomiting is a classic and important early sign. Increased ICP occurs when there is excessive pressure within the skull, which can result from head trauma, brain swelling, or bleeding. The brain is enclosed in a rigid skull, so any increase in volume (from swelling, blood, or fluid) leads to increased pressure. This pressure affects the brain's normal functioning and can compress vital structures. Vomiting associated with increased ICP is typically projectile in nature and may occur without nausea. It happens because the increased pressure affects the vomiting center in the medulla oblongata. Other signs of increased ICP include headache, altered level of consciousness, changes in pupil size and reactivity, and changes in vital signs. Early recognition of these signs is crucial because increased ICP can lead to brain herniation and death if not treated promptly. The other options listed are not typical signs of increased ICP: narrowing pulse pressure actually widens in increased ICP, periorbital edema is not a primary sign, and Kernig's sign indicates meningeal irritation rather than increased pressure.

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