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NUR 376 Exam 3 | COMPLETE QUESTIONS AND ANSWERS | 2025 LATEST UPDATED | ALREADY GRADED A+

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NUR 376 Exam 3 | COMPLETE QUESTIONS AND ANSWERS | 2025 LATEST UPDATED | ALREADY GRADED A+

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NUR 376 Exam 3 | COMPLETE QUESTIONS AND ANSWERS | 2025

LATEST UPDATED | ALREADY GRADED A+

the bones of the skull form a rigid cranial compartment that contains: - (answers)brain tissue
(80%)


CSF (10%)


blood volume (10%)


the pressure of _____ must remain _____ to maintain a normal _____ - (answers)brain tissues,
CSF, and blood volume;


balanced;


intracranial pressure (ICP)


intracranial pressure (ICP) - (answers)the pressure inside the skull, brain tissue, and CSF


normal ICP for a resting, supine adult - (answers)5-15 mmHg


what causes change in ICP? - (answers)volume changes in:


brain tissue
cerebral blood flow
CSF


what is the monroe-kellie hypothesis? - (answers)an increase in the volume of one component
must be compensated by a decrease in the volume of another

,EX: A slow-growing brain tumor increases the volume of brain tissue. What happens? -
(answers)The CSF production is slowed to compensate and maintain normal ICP.


What happens once the volume of the brain tumor exceeds the volume of the CSF reduction? -
(answers)ICP increases


when the compensating mechanisms are totally exhausted.... - (answers)ICP will increase


ICP is maintained until _____ - (answers)a maximum point is reached


what is a major cause of increased ICP? - (answers)cerebral edema


what are major causes of cerebral edema? - (answers)trauma


hemorrhage


tumor inflammation


ischemia


types of cerebral edema - (answers)vasogenic


cytotoxic


what causes vasogenic cerebral edema? - (answers)trauma that causes a shearing stress on the
brain


what happens to the brain with vasogenic cerebral edema? - (answers)the pore's of the brain's
capillaries open wide and allow proteins/fluids to leak from blood to tissues


what causes cytotoxic cerebral edema? - (answers)cerebral ischemia or hypoxia

,if cytotoxic cerebral edema is not reversed, what happens? - (answers)brain cell death


ischemia in the brain causes... - (answers)ion pumps to fail which leads to cellular swelling


cellular swelling causes _____ which causes _____ - (answers)an increase in the volume of brain
tissue; increased ICP


low oxygen levels (hypoxia) or high carbon dioxide levels in the brain cause... -
(answers)reflexive cerebral vasodilation


reflexive cerebral vasodilation causes _____ which causes _____ - (answers)an increase in the
volume of the brain's blood; increased ICP


decreasing the volume of brain tissue, CSF, or circulation will cause... - (answers)decreased ICP


what leads to decreased ICP? - (answers)external drainage of CSF via catheter


low blood volume from lowering BP


hypertonic solution infusion (mannitol)


low CO2


removing brain tissue


decompressive craniectomy


how does infusion of a hypertonic solution affect the brain pressure? - (answers)rapidly
decreases intracellular pressure


lowers cerebral edema

, how does low CO2 affect brain pressure? - (answers)causes vasoconstriction of cerebral arteries
which reduces the volume of blood delivered to the brain


how does a lobectomy affect ICP? - (answers)removing brain tissue decreases volume which
decreases ICP


how does a decompressive craniectomy decrease ICP? - (answers)a section of the skull removed
creates an opening in the closed space of the skull and allows for expansion of the brain without
compressing brain tissue


types of strokes - (answers)ischemic


hemorrhagic


transient ischemic attack (TIA)


a stroke is a ______ whereby a disruption in cerebral circulation triggers ______ that are _____ -
(answers)clinical syndrome;


abrupt neurological deficits;


permanent


ischemic stroke - (answers)caused by a thrombus or embolus that lodges in a cerebral artery and
blocks blood flow to brain tissue


ischemia of brain tissue leads to.... - (answers)cerebral infarction


(death of brain cells)


mechanisms commonly seen in ischemia stroke - (answers)cerebral ateriosclerosis

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