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NURS 480-Assessment 2-Wk 4 Neuro Latest recent and frequently tested exam with comprehensive questions and verified accurate solution (detailed & elaborated) GRADED A+.

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NURS 480-Assessment 2-Wk 4 Neuro Latest recent and frequently tested exam with comprehensive questions and verified accurate solution (detailed & elaborated) GRADED A+.

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NURS 480-Assessment 2-Wk 4 Neuro Latest
recent and frequently tested exam with
comprehensive questions and verified
accurate solution (detailed & elaborated)
GRADED A+
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,What condition is caused by prolonged pressure above 15 mmHg? - correct ans:Increased Intracranial
Pressure



What is the normal range for intracranial pressure? - correct ans:10-15 mmHg



What can happen if ICP is left untreated? - correct ans:Cessation of breathing and cardiac function



Arterial pressure, venous pressure, intraabdominal & intrathoracic pressure, posture, temperature,
ABGs (PaCO2 in particular) are factors that can effect - correct ans:ICP



What are the common causes of increased ICP? - correct ans:Mass (tumor, hematoma, abscess)

Cerebral edema (contusion, meningitis)



What are the 3 factors that autoregulate in the skull if there is an increase in one or the other? - correct
ans:Brain, blood & CSF



What is the net pressure gradient that drives oxygen delivery to cerebral tissue (blood flow to the brain)
mL's passing through 100g of brain tissue in 1 minute - correct ans:Cerebral Blood Flow (CBF)



What is the pressure needed to ensure blood flow to the brain called? - correct ans:Cerebral perfusion
pressure (CPP)



What is the normal range for CCP? - correct ans:60-100 mmHg



Ischemia and neuronal death is associated with a CPP < ? - correct ans:50 mmHg



ischemia and incompatible with life is associated with a CPP < ? - correct ans:30 mmHg



How do you calculate CPP? - correct ans:MAP-ICP

, MAP=SBP+DBP(x2)/3



Example:

BP - 205/120/ICP - 22

205 + 240 ÷ 3

MAP= 148

CPP 126



What are the early signs of increased ICP? - correct ans:Decreased consciousness (most significant sign)

Excruciating, constant headache

Nuchal rigidity (stiff neck)

Vomiting / nausea



What assessment concentrates on neurologic function and is useful to determine the level of
consciousness and monitor response to treatment? - correct ans:Glasgow Coma Scale



GCS eye opening response - correct ans:4 = spontaneous

3 = to speech

2 = to pain

1 = none



GCS verbal response - correct ans:5-Oriented

4-Confused conversation

3-Inappropriate words

2-Incomprehensible sounds

1-None



GCS motor response - correct ans:6-Obeys commands

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