Advanced Oncology Certified Nurse Practitioner (AOCNP) Certification Practice Test

Which strategy is NOT commonly used in treating increased intracranial pressure?

1. Stereotactic Radiosurgery

2. Management of fluid balance

3. Oxygen support

4. Surgical resection

The correct answer is: Oxygen support

When addressing increased intracranial pressure (ICP), various treatment strategies are employed to alleviate the pressure and manage symptoms effectively. Management of fluid balance is critical, as it helps maintain optimal intracranial pressure by avoiding both fluid overload and dehydration, which can exacerbate conditions leading to elevated ICP. Surgical interventions, such as surgical resection, may be necessary in cases where a mass lesion (like a tumor or hematoma) is contributing to increased pressure. Stereotactic radiosurgery is also a valid option for managing certain types of tumors that might increase ICP, as it can reduce the size of the tumor without the need for invasive surgery. In contrast, while providing oxygen support is essential in managing any patient with severe neurological issues, it is not a direct approach to treating increased intracranial pressure. Hypoxia can worsen the situation; therefore, oxygen support is necessary to ensure the brain receives adequate oxygenation, but it does not specifically reduce the pressure within the cranial cavity itself. Thus, while oxygen support is important for overall brain function, it is not a treatment strategy specifically aimed at managing elevated ICP, making it the least relevant option in this context.