ECCO Caring for Patients with Neurologic Disorders Part 2

ECCO Caring for Patients with Neurologic Disorders Part 2 patient who fell and sustained a traumatic brain injury is admitted. The patient is unconscious and has a GCS score of 6. Which of these is the main priority? Endotracheal intubation Which of the following patient is at greatest risk for development of an aSAH? A patient: Who uses methamphetamine. A patient with a history of hypertension reports nausea, "a terrible headache," and numbness and weakness of the right arm and leg. What neurologic event should the nurse suspect? Hemorrhagic stroke Patients with hemorrhagic stroke are likely to have symptoms of increased intracranial pressure, such as headache and nausea, in addition to any focal deficits A patient with history of seizure is returning from the bathroom when she has new-onset nausea and confusion, followed by greater muscle tone. What intervention is indicated? Assist the patient in laying down What characteristic of generalized-onset epileptic seizures distinguishes them from focal onset seizures? Loss of consciousness A patient with a history of smoking and recent cocaine use, reports a stiff neck and severe headache. He hides his eyes from light and evidences decreasing LOC. What should the nurse suspect? aSAH Photophobia and nuchal rigidity are signs and symptoms of aSAH, as are nausea, vomiting, lethargy, decreased LOC, and focal deficits. A patient with an ischemic stroke is to receive rtPA. Which of the following should the nurse include in the process? Perform neurologic checks every 15 minutes for two hours. A patient with an ischemic stroke has undergone endovascular therapy. Which of the following should be included in the patient's plan of care? Monitor for the presence of groin, flank, or back pain.