NSG 4100 Final Exam Questions and Answers

NSG 4100 Final Exam Questions and Answers what would require immediate intervention for a patient with head trauma? - Answer-- CSF drainage: meningitis infection can occur - A depressed fracture - require surgery within 24 hrs - A battle sign (bruising over the mastoid bone) - Pts who pees ALOT - indicate dilute urine --> DI - GCS - score <8 - Decorticate and Decerebrate posturing -Changes in pupils What would require immediate intervention for a patient with TBIs? - Answer-- Dolls eyes (dilation of eyes), fixation of pupils, paralysis of extremity ---> indicate herniation - When Turing pt head to one side, and if eyes turn into the same direction = bad response - opposite direction = normal response Clinical manifestations that require immediate intervention for acute SDH? - Answer-- Coma, increase BP, decreased HR, slow RR What emergency procedure would be preformed for a patient with a epidural hematoma? - Answer-Burr holes - release blood accumulated in the between the skull and dura bc it can cause neurological deficits and respiratory arrest Early s/s of increased ICP - Answer-- change in LOC - earliest - disorientation, restlessness, increased respiratory effort (Kussmals), purposeless movements, mental confusion, - pupillary changes and impaired extraocular movements - late s/s of increased ICP (vital sign changes) - Answer-- Cushing's Triad - bradycardia, bradypnea, widen pulse pressure (increased systolic, decreased diastolic_ - increased BP and temp