NR328 Quiz 4 cerebral dysfunction UPDATED ACTUAL
Questions and CORRECT Answers
)
Findings can identify infection in the cerebral spinal fluid lumbar puncture
Findings may suggest a lesion is present or provide electroencephalogram (EEG)
evidence of brain death
Provides visualization of structures to detect structural computerized tomography (CT)
abnormalities, hemorrhages, tumors, or inflammation
Provides visualization of structures with the ability to magnetic resonance imaging (MRI)
discriminate between tissue types
Profuse vomiting and lethargy that quickly progress to clinical manifestations of reye's syndrome
neurologic impairment, including delirium, seizures, and
coma, and can ultimately lead to increased intracranial
pressure, herniation, and death.
what is included in neuro assessment vital signs, level of consciousness, reflexes, motor function, and pupil reactivity to
light.
ensuring circulation, airway, and breathing immediate emergency treatment
stabilizing the spine (when indicated)
reducing intracranial pressure (when indicated)
use of an oral airway airway management
mechanical ventilation
respiratory status monitored
suctioning performed as needed
blood gas values monitored
intraventricular catheter ICP monitoring
subarachnoid bolt
epidural sensor
anterior fontanel pressure monitor
external ventricular drainage system may be used but
presents risk for infection
alertness (ability to respond to stimuli) and cognition LOC
(ability to process and produce verbal or motor
responses)
assessment of LOC is an early indicator of neurological
improvement or deterioration)
pulse, resp, BP circulation
intracranial bleed or infection temperature
, the sudden appearance of a fixed and dilated pupil is a neurological emergency
occurs w/ brain dysfxn when strong muscles overcome posturing
weaker ones
sign of severe dysfunction to cerebral cortex or just flexion posturing
above the brain stem; includes rigid flexion with arms
tight to the body; flexed elbows, wrists, and fingers,
pointed toes
sign of dysfunction at the level of the midbrain or to the extension posturing
brainstem; includes rigid extension of arms and legs,
extended neck, and sometimes an arched back
rare and serious condition that causes swelling in the liver reye's syndrome
and brain that is most often associated with children and
teenagers
can occur from viral illness (flu, varicella) exposure to
drugs (aspirin/salicylates/bismuth subsalicylate), elevated
ammonia levels, cerebral edema
liver biopsy def Dx for reye's syndrome
most common type of seizure febrile seizure
assoc w/ temp @100.4F
6m-5y
under 18m have higher risk
the most common and mildest traumatic brain injury. concussion
It causes an alteration in mental status with or without
loss of consciousness.
Confusion and amnesia are the most common symptoms.
A majority are sports-related injuries.
A contusion is a bruise and a laceration is tearing of contusion and laceration
cerebral tissue.
A coup injury is a contusion at the point of impact of the
injury; a contrecoup injury occurs when the brain tissue
accelerates with the skull away from the original point of
impact and has a second point of impact with the internal
surface of the skull.
Contusions from shaken baby syndrome can result in
profound neurologic impairment, seizures, retinal
hemorrhages (usually bilateral), and intracranial
subarachnoid or subdural hemorrhages.
result from a direct blow or injury to the skull. in children skull fracture
under 2 are often from short-distance falls, such as falling
from a caregiver's arms.
Questions and CORRECT Answers
)
Findings can identify infection in the cerebral spinal fluid lumbar puncture
Findings may suggest a lesion is present or provide electroencephalogram (EEG)
evidence of brain death
Provides visualization of structures to detect structural computerized tomography (CT)
abnormalities, hemorrhages, tumors, or inflammation
Provides visualization of structures with the ability to magnetic resonance imaging (MRI)
discriminate between tissue types
Profuse vomiting and lethargy that quickly progress to clinical manifestations of reye's syndrome
neurologic impairment, including delirium, seizures, and
coma, and can ultimately lead to increased intracranial
pressure, herniation, and death.
what is included in neuro assessment vital signs, level of consciousness, reflexes, motor function, and pupil reactivity to
light.
ensuring circulation, airway, and breathing immediate emergency treatment
stabilizing the spine (when indicated)
reducing intracranial pressure (when indicated)
use of an oral airway airway management
mechanical ventilation
respiratory status monitored
suctioning performed as needed
blood gas values monitored
intraventricular catheter ICP monitoring
subarachnoid bolt
epidural sensor
anterior fontanel pressure monitor
external ventricular drainage system may be used but
presents risk for infection
alertness (ability to respond to stimuli) and cognition LOC
(ability to process and produce verbal or motor
responses)
assessment of LOC is an early indicator of neurological
improvement or deterioration)
pulse, resp, BP circulation
intracranial bleed or infection temperature
, the sudden appearance of a fixed and dilated pupil is a neurological emergency
occurs w/ brain dysfxn when strong muscles overcome posturing
weaker ones
sign of severe dysfunction to cerebral cortex or just flexion posturing
above the brain stem; includes rigid flexion with arms
tight to the body; flexed elbows, wrists, and fingers,
pointed toes
sign of dysfunction at the level of the midbrain or to the extension posturing
brainstem; includes rigid extension of arms and legs,
extended neck, and sometimes an arched back
rare and serious condition that causes swelling in the liver reye's syndrome
and brain that is most often associated with children and
teenagers
can occur from viral illness (flu, varicella) exposure to
drugs (aspirin/salicylates/bismuth subsalicylate), elevated
ammonia levels, cerebral edema
liver biopsy def Dx for reye's syndrome
most common type of seizure febrile seizure
assoc w/ temp @100.4F
6m-5y
under 18m have higher risk
the most common and mildest traumatic brain injury. concussion
It causes an alteration in mental status with or without
loss of consciousness.
Confusion and amnesia are the most common symptoms.
A majority are sports-related injuries.
A contusion is a bruise and a laceration is tearing of contusion and laceration
cerebral tissue.
A coup injury is a contusion at the point of impact of the
injury; a contrecoup injury occurs when the brain tissue
accelerates with the skull away from the original point of
impact and has a second point of impact with the internal
surface of the skull.
Contusions from shaken baby syndrome can result in
profound neurologic impairment, seizures, retinal
hemorrhages (usually bilateral), and intracranial
subarachnoid or subdural hemorrhages.
result from a direct blow or injury to the skull. in children skull fracture
under 2 are often from short-distance falls, such as falling
from a caregiver's arms.
