Advanced Oncology Certified Nurse Practitioner (AOCNP) Certification Practice Test 2025 - Free AOCNP Practice Questions and Study Guide

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What is a key strategy for managing elevated intracranial pressure (ICP)?

Administering antibiotics

Increasing hydration

Giving corticosteroids

Managing elevated intracranial pressure (ICP) effectively is crucial in ensuring adequate cerebral perfusion and preventing further neurological injury. The administration of corticosteroids is a key strategy in this context because they have been shown to reduce inflammation and edema in the brain, which can contribute to increased ICP. By decreasing brain swelling, corticosteroids help to relieve pressure within the cranial cavity and can improve outcomes in conditions such as brain tumors, traumatic brain injury, or cerebral edema.

Corticosteroids, such as dexamethasone, are particularly beneficial in cases involving brain tumors or certain types of traumatic brain injury, as they target the inflammatory processes that exacerbate intracranial pressure. They act by stabilizing the cell membrane, reducing the release of inflammatory mediators, and promoting the reabsorption of edema fluid, which ultimately aids in lowering ICP.

In contrast, while antibiotics address infections, they do not directly influence ICP levels. Increasing hydration can potentially complicate the situation, as overhydration may lead to increased cerebral edema and higher ICP. Analgesics mainly provide symptom relief and do not have a significant effect on the management of elevated ICP. Hence, the use of corticosteroids is the most appropriate choice for managing elevated ICP in the provided options.

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Using analgesics

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