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NUR 376- EXAM 3 Latest recent and frequently tested with comprehensive questions and verified accurate solution (detailed & elaborated) GRADED A+.

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NUR 376- EXAM 3 Latest recent and frequently tested with comprehensive questions and verified accurate solution (detailed & elaborated) GRADED A+.

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NUR 376- EXAM 3 Latest recent and
frequently tested with comprehensive
questions and verified accurate solution
(detailed & elaborated) GRADED A+

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, ICP - correct ans:intracranial pressure = balance of pressure of the brain tissue, blood, and CSF.

(normal pressure is 5 to 15 mm Hg)



Changes to ICP - correct ans:brain tissue, cerebral blood flow (hypertension), or CSF



Monroe-Kellie hypothesis* - correct ans:increase in one compartment of the brain is compensated by a
decrease in the other compartments of the brain



Increased ICP patho - correct ans:initially compressing blood vessels in the brian = less blood = less O2 =
cerebral hypoxia



If ICP continues to increase and cause more pressure on the brain stem, Cushing's triad- hypertension
with wide pulse pressure, low HR (bradycardia), and low RR (bradypnea)



early clinical manifestations pt suspected increased ICP* - correct ans:reduced LOC (irritability or
restlessness), decreased mental status*-earliest sign, sleepiness, flat affect & drowsiness



moderate signs pt suspected increased ICP - correct ans:headache- constant (patho: stretching of
meninges), sudden vomiting "emisis) without nausea!- report (patho- pressure on medulla)



late- clinical manifestations pt suspected increased ICP* - correct ans:Brain stem affected: extra pressure
on the brian, eventually squashing the brian stem which controls breathing & heart = kills pt

Eyes: pupils fixed & dilated (8 mm, normal 2-6mm) , sometimes unequal- pressure on cranial nerve 3
(oculomotor nerve)

We want dolls eyes- meaning the eyes move in opposite direct of head movement = brain stem is in
tact!!

Papilledema- swelling around the optic disk caused by increased pressure of CSF

lungs: irregular respirations, cheyne stroke respirations (apnea)

Neck: nuchal rigidity (stiff neck)- can not FLEX chin towards chest



crushing triad

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