ECCO Caring for Patients with Neurologic Disorders: Part 1 Exam Questions And Answers 100% Verified

ECCO Caring for Patients with Neurologic Disorders: Part 1 Exam Questions And Answers 100% Verified What vital sign assessments herald impending brainstem herniation? - answerIncreased SBP w/widening pulse pressure, changes in respirations, and bradycardia A patient is admitted after sustaining traumatic brain injury in a motorcycle crash. The patent's GCS score on admission is E 2, M 3, V 1T = 6T. Which of the following should the nurse perform to prepare the patient for ICP monitoring? - answerPrior to placement of an ICP monitoring catheter, a neurologic assessment is performed in order to have a baseline assessment to compare to the postinsertion assessment. A patient is admitted following a drug overdose. The patient does not open eyes upon verbal request but localizes to a trapezius muscle squeeze without opening eyes. The nurse should document the patient's mental status as: - answerResponsive to painful stimuli You are caring for an unconscious patient with traumatic brain injury from a motor vehicle crash. His alcohol and toxicology screen are negative, he has no facial fractures, and he's not receiving pain or sedation medication. Vital signs: BP 100/70 (80), HR 86 sinus rhythm, SpO2 95% with endotracheal tube secured. Upon application of painful stimuli with supraorbital notch pressure, the patient clenches fists, holds legs straight out, and bends arms inward toward the body. Fingers are bent and held on the chest. The nurse should document this response as: - answerAbnormal flexor posturing In a patient with a subarachnoid hemorrhage, what is the purpose of a transcranial Doppler (TCD) test? - answerMeasure blood flow velocity to assess for vasospasm. Transcranial Doppler (TCD) uses ultrasound technology to evaluate cerebral blood flow and arterial narrowing in the major cerebral vessels. If arterial passages have narrowed, as in vasospasm, blood flow velocity is increased. Which of the following patients should the nurse anticipate as most likely to develop hyponatremia and hypo-osmolality? A patient: - answerTwo days post severe traumatic brain injury A nurse finds that a patient does not move spontaneously