Nurs 4040 Cerebral Dysfunction Test
With Complete Solution
What are some symptoms of increased ICP in an infant? - ANSWER Bulging
fontanel
Irritability
High-pitched cry
Changes in feedings
Setting-sun sign
What is the setting sun sign? - ANSWER One eye looks like the setting sun
What are some components to the neurologic exam? - ANSWER Pediatric
Coma Scale
V/S
Skin
Eyes (pupil size and reactivity)
Motor function
Posturing
Reflexes
What are some signs of increased ICP in children? - ANSWER HA
N/V
,Diplopia
Blurred vision
Seizures
Irritability
Drowsiness
Memory loss
Decline in school performance
What are some nursing interventions for increased ICP? - ANSWER HOB
elevated 30 degrees
Nutrition and hydration
Quiet environment, little stimuli
What are some medications for increased ICP? - ANSWER Antibiotics
Corticosteroids
Sedatives
Anti-epileptics
What is the decorticate position? - ANSWER Hands at chest
Doll's eyes should be treated how? - ANSWER Emergency
What is some nursing care of the unconscious child? - ANSWER Continuous
observation of LOC
Pupillary reactions
, VS
Respiratory management (airway)
Meds
Hygiene (skin, mouth, eye care)
Elimination
Positioning and exercise
Family support
Thermoregulation
Describe coup. - ANSWER Movement that causes bruising at point of impact
(bat to head)
Describe contrecoup. - ANSWER Happens where brain collides with surface
far from point of impact (brain bounces off skull)
How is ICP monitored? - ANSWER Direct ventricular pressure measurement
with an intraventricular catheter
An intraventricular catheter goes in on which side? - ANSWER Non-dominant
What is the most common head injury? - ANSWER Concussion
What is some nursing management for a concussion? - ANSWER Decreased
stimuli/cognitive rest (no reading)
Seizure precautions
Frequent VS
Side rails up
With Complete Solution
What are some symptoms of increased ICP in an infant? - ANSWER Bulging
fontanel
Irritability
High-pitched cry
Changes in feedings
Setting-sun sign
What is the setting sun sign? - ANSWER One eye looks like the setting sun
What are some components to the neurologic exam? - ANSWER Pediatric
Coma Scale
V/S
Skin
Eyes (pupil size and reactivity)
Motor function
Posturing
Reflexes
What are some signs of increased ICP in children? - ANSWER HA
N/V
,Diplopia
Blurred vision
Seizures
Irritability
Drowsiness
Memory loss
Decline in school performance
What are some nursing interventions for increased ICP? - ANSWER HOB
elevated 30 degrees
Nutrition and hydration
Quiet environment, little stimuli
What are some medications for increased ICP? - ANSWER Antibiotics
Corticosteroids
Sedatives
Anti-epileptics
What is the decorticate position? - ANSWER Hands at chest
Doll's eyes should be treated how? - ANSWER Emergency
What is some nursing care of the unconscious child? - ANSWER Continuous
observation of LOC
Pupillary reactions
, VS
Respiratory management (airway)
Meds
Hygiene (skin, mouth, eye care)
Elimination
Positioning and exercise
Family support
Thermoregulation
Describe coup. - ANSWER Movement that causes bruising at point of impact
(bat to head)
Describe contrecoup. - ANSWER Happens where brain collides with surface
far from point of impact (brain bounces off skull)
How is ICP monitored? - ANSWER Direct ventricular pressure measurement
with an intraventricular catheter
An intraventricular catheter goes in on which side? - ANSWER Non-dominant
What is the most common head injury? - ANSWER Concussion
What is some nursing management for a concussion? - ANSWER Decreased
stimuli/cognitive rest (no reading)
Seizure precautions
Frequent VS
Side rails up
