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Exam (elaborations)

NUR2115 Exam 3 Questions & 100% Correct Answers

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Cerebral Perfusion Pressure (CPP) :~~ MAP-ICP Normal CPP :~~ 80-100 mmHg Mean Arterial Pressure (MAP) :~~ (SBP + 2DBP)/3 Normal MAP :~~ >70-80 mmHG Normal Intracranial pressure :~~ 5-15 mmHg Intracranial components :~~ 10% blood, 10% CSF, 80% Brain Monro-Kellie Hypothesis 2 | P a g e | © copyright 2024/2025 | Grade A+ Master01 | September, 2024/2025 | Latest update :~~ If the volume of any of the intracranial components changes, it must be compensated for by another component. The total volume of the intracranial compartment must remain fixed. Neurological exam components :~~ LOC Pupillary function Motor function Respiratory function Vital signs Arousal :~~ Evaluates lowest level of consciousness Alert :~~ Patient responds to gently calling name Lethargic :~~ Patient must be shouted at to gain attention Obtunded 3 | P a g e | © copyright 2024/2025 | Grade A+ Master01 | September, 2024/2025 | Latest update :~~ Patient responds to noxious, painful stimuli such as sternal rub or trapezius pinch Comatose :~~ Patient responds to NO stimuli Awareness :~~ Evaluates higher level of consciousness Orientation :~~ Determines level of awareness. Evaluate orientation to person, place, time, and situation Motor response :~~ Use noxious peripheral stimulation if needed to elicit a response Spontaneous response :~~ Obeys commands Localizes pain response :~~ Opposite extremity crosses over midline to remove stimulus 4 | P a g e | © copyright 2024/2025 | Grade A+ Master01 | September, 2024/2025 | Latest update Withdrawal response :~~ Patient presents normal flexion to avoid stimulus Decorticate response :~~ Patient presents abnormal flexion in response to stimulus Decerebrate response :~~ Patient presents abnormal extension in response to noxious stimuli Flaccid response :~~ Patient does not respond at all to stimuli PERRLA :~~ Pupils Equal Round Reactive to Light and Accommodating Pupils oval :~~ Pupillary sign of increased ICP Pupils constricted :~~ Pupillary sign of b

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Uploaded on
September 9, 2024
Number of pages
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Written in
2024/2025
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1 | P a g e | © copyright 2024/2025 | Grade A+




NUR2115 Exam 3 Questions & 100%
Correct Answers
Cerebral Perfusion Pressure (CPP)

✓ :~~ MAP-ICP




Normal CPP

✓ :~~ 80-100 mmHg




Mean Arterial Pressure (MAP)

✓ :~~ (SBP + 2DBP)/3




Normal MAP

✓ :~~ >70-80 mmHG




Normal Intracranial pressure


✓ :~~ 5-15 mmHg




Intracranial components

✓ :~~ 10% blood, 10% CSF, 80% Brain




Monro-Kellie Hypothesis


Master01 | September, 2024/2025 | Latest update

, 2 | P a g e | © copyright 2024/2025 | Grade A+


✓ :~~ If the volume of any of the intracranial components changes, it must

be compensated for by another component. The total volume of the

intracranial compartment must remain fixed.




Neurological exam components

✓ :~~ LOC

Pupillary function

Motor function

Respiratory function

Vital signs




Arousal

✓ :~~ Evaluates lowest level of consciousness




Alert


✓ :~~ Patient responds to gently calling name




Lethargic

✓ :~~ Patient must be shouted at to gain attention




Obtunded




Master01 | September, 2024/2025 | Latest update

, 3 | P a g e | © copyright 2024/2025 | Grade A+


✓ :~~ Patient responds to noxious, painful stimuli such as sternal rub or

trapezius pinch




Comatose

✓ :~~ Patient responds to NO stimuli




Awareness

✓ :~~ Evaluates higher level of consciousness




Orientation


✓ :~~ Determines level of awareness. Evaluate orientation to person, place,

time, and situation




Motor response

✓ :~~ Use noxious peripheral stimulation if needed to elicit a response




Spontaneous response

✓ :~~ Obeys commands




Localizes pain response

✓ :~~ Opposite extremity crosses over midline to remove stimulus




Master01 | September, 2024/2025 | Latest update

, 4 | P a g e | © copyright 2024/2025 | Grade A+


Withdrawal response

✓ :~~ Patient presents normal flexion to avoid stimulus




Decorticate response

✓ :~~ Patient presents abnormal flexion in response to stimulus




Decerebrate response

✓ :~~ Patient presents abnormal extension in response to noxious stimuli




Flaccid response

✓ :~~ Patient does not respond at all to stimuli




PERRLA


✓ :~~ Pupils Equal Round Reactive to Light and Accommodating




Pupils oval

✓ :~~ Pupillary sign of increased ICP




Pupils constricted

✓ :~~ Pupillary sign of brain stem compression or narcotic use




Master01 | September, 2024/2025 | Latest update

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