Brain Tumor and head injury

Q1// The nurse is performing a neurologic assessment of a patient whose injuries have rendered her unable to follow verbal commands. How should the nurse proceed with assessing the patients level of consciousness (LOC)? • A) Assess the patients vital signs and correlate these with the patients baselines. • B) Assess the patients eye opening and response to stimuli. • C) Document that the patient currently lacks a level of consciousness • D) Facilitate diagnostic testing in an effort to obtain objective data Lecture Questions Q2//In the course of a focused neurologic assessment, the nurse is palpating the patients major muscle groups at rest and during passive movement. Data gleaned from this assessment will allow the nurse to describe which of the following aspects of neurologic function? • A) Muscle dexterity • B) Muscle tone. • C) Motor symmetry • D) Deep tendon reflexes Lecture Questions Q3//During the performance of the Romberg test, the nurse observes that the patient sways slightly. What is the nurses most appropriate action? • A) Facilitate a referral to a neurologist • B) Reposition the patient supine to ensure safety • C) Document successful completion of the assessment • D) Follow up by having the patient perform the Rinne test. Lecture Questions Q4//A patient is being admitted to the neurologic ICU following an acute head injury that has resulted in cerebral edema. When planning this patients care, the nurse would expect to administer what priority medication? • A) Hydrochlorothiazide (HydroDIURIL) • B) Furosemide (Lasix) • C) Mannitol (Osmitrol). • D) Spirolactone (Aldactone) Lecture Questions Q4//A patient is being admitted to the neurologic ICU following an acute head injury that has resulted in cerebral edema. When planning this patients care, the nurse would expect to administer what priority medication? • A) Hydrochlorothiazide (HydroDIURIL) • B) Furosemide (Lasix) • C) Mannitol (Osmitrol). • D) Spirolactone (Aldactone) Lecture Questions Q5//The nurse is caring for a patient with a brain tumor. What drug would the nurse expect to be ordered to reduce the edema surrounding the tumor? • A) Solumedrol • B) Dextromethorphan • C) Dexamethasone. • D) Furosemide Ministry of Higher Education University of Basrah College of Nursing Fundamentals of Nursing Department Second stage: Adult Nursing II Lecture 2 (Theory) Part II Head Injury Assist. Lecturer Saja K. Jassim, MSC. Adult Nursing Lecture Questions •Q1// A patient is being admitted to the neurologic ICU following an acute head injury that has resulted in cerebral edema. When planning this patients care, the nurse would expect to administer what priority medication? • A) Hydrochlorothiazide (HydroDIURIL) •B) Furosemide (Lasix) •C) Mannitol (Osmitrol) •D) Spirolactone (Aldactone) Lecture Questions •Q2// The nurse is caring for a patient with permanent neurologic impairments resulting from a traumatic head injury. When working with this patient and family, what mutual goal should be prioritized? • A) Achieve as high a level of function as possible. •B) Enhance the quantity of the patients life. • C) Teach the family proper care of the patient. •D) Provide community assistance. Lecture Questions •Q3// The nurse is caring for a patient who sustained a moderate head injury following a bicycle accident. The nurses most recent assessment reveals that the patients respiratory effort has increased. What is the nurses most appropriate response? •A) Inform the care team and assess for further signs of possible increased ICP. •B) Administer bronchodilators as ordered and monitor the patients LOC. •C) Increase the patients bed height and reassess in 30 minutes. • D) Administer a bolus of normal saline as ordered.