MDC4 Exam 3 Questions with 100% Correct
Answers
What functions are affected by cerebral tumors?
Cognition, speech, vision, seizures, personality, motor/sensory deficits, ↑ICP.
What are key symptoms of spinal cord tumors?
Back pain, progressive weakness, sensory loss, bowel/bladder dysfunction.
What is the priority nursing care for a patient with a brain tumor?
Airway, neuro checks, seizure precautions, ↓ICP measures.
What safety teaching should be provided for neuro tumor patients?
No driving until cleared, fall precautions, report ↑ICP symptoms.
What is status epilepticus?
Seizure ≥5 minutes or repeated seizures without regaining consciousness.
What are the priority ictal interventions during a seizure?
Protect airway, side-lying, time seizure, do NOT restrain or insert objects.
What are the priority postictal interventions?
Reorient, assess neuro status, allow rest, check glucose if indicated.
What is the first-line medication for status epilepticus?
IV benzodiazepine (lorazepam).
What is key seizure medication teaching?
Take meds daily, don't stop abruptly, avoid alcohol, labs may be needed.
, What is the normal ICP value?
5-15 mmHg.
What is an early sign of increased ICP?
Decreased level of consciousness.
What is a late sign of increased ICP (Cushing triad)?
↑SBP/widened pulse pressure, bradycardia, irregular respirations.
What are the priority nursing interventions for ↑ICP?
HOB 30°, head midline, avoid Valsalva, osmotic diuretics.
What is key teaching after transsphenoidal surgery?
No nose blowing, sneeze with mouth open, monitor for CSF leak.
What are the signs of a CSF leak?
Clear drainage, halo sign, positive glucose.
What is the priority nursing care for muscular dystrophy?
Maintain mobility, respiratory monitoring, prevent contractures.
What is a common cause of intracerebral hemorrhage?
Uncontrolled hypertension.
What is the priority treatment for hemorrhagic stroke?
BP control, manage ICP, reverse anticoagulation.
What is the difference between ischemic and hemorrhagic stroke?
Ischemic = clot; Hemorrhagic = vessel rupture.
Answers
What functions are affected by cerebral tumors?
Cognition, speech, vision, seizures, personality, motor/sensory deficits, ↑ICP.
What are key symptoms of spinal cord tumors?
Back pain, progressive weakness, sensory loss, bowel/bladder dysfunction.
What is the priority nursing care for a patient with a brain tumor?
Airway, neuro checks, seizure precautions, ↓ICP measures.
What safety teaching should be provided for neuro tumor patients?
No driving until cleared, fall precautions, report ↑ICP symptoms.
What is status epilepticus?
Seizure ≥5 minutes or repeated seizures without regaining consciousness.
What are the priority ictal interventions during a seizure?
Protect airway, side-lying, time seizure, do NOT restrain or insert objects.
What are the priority postictal interventions?
Reorient, assess neuro status, allow rest, check glucose if indicated.
What is the first-line medication for status epilepticus?
IV benzodiazepine (lorazepam).
What is key seizure medication teaching?
Take meds daily, don't stop abruptly, avoid alcohol, labs may be needed.
, What is the normal ICP value?
5-15 mmHg.
What is an early sign of increased ICP?
Decreased level of consciousness.
What is a late sign of increased ICP (Cushing triad)?
↑SBP/widened pulse pressure, bradycardia, irregular respirations.
What are the priority nursing interventions for ↑ICP?
HOB 30°, head midline, avoid Valsalva, osmotic diuretics.
What is key teaching after transsphenoidal surgery?
No nose blowing, sneeze with mouth open, monitor for CSF leak.
What are the signs of a CSF leak?
Clear drainage, halo sign, positive glucose.
What is the priority nursing care for muscular dystrophy?
Maintain mobility, respiratory monitoring, prevent contractures.
What is a common cause of intracerebral hemorrhage?
Uncontrolled hypertension.
What is the priority treatment for hemorrhagic stroke?
BP control, manage ICP, reverse anticoagulation.
What is the difference between ischemic and hemorrhagic stroke?
Ischemic = clot; Hemorrhagic = vessel rupture.
