NSG 4100 FINAL EXAM | ALL
QUESTIONS AND CORRECT
ANSWERS | GRADED A+ | VERIFIED
ANSWERS | LATEST EXAM 2025
Save
Terms in this set (143)
, - CSF drainage: meningitis infection
can occur
- A depressed fracture - require
what would surgery within 24 hrs
require - A battle sign (bruising over the
immediate mastoid bone)
intervention for a - Pts who pees ALOT - indicate
patient with dilute urine --> DI
head trauma? - GCS - score <8
- Decorticate and Decerebrate
posturing
- Changes in pupils
- Dolls eyes (dilation of eyes),
What would fixation of pupils, paralysis of
require extremity ---> indicate herniation
immediate - When Turing pt head to one side,
intervention for a and if eyes turn into the same
patient with direction = bad response
TBIs? - opposite direction = normal
response
,Clinical - Coma, increase BP, decreased HR,
manifestations slow RR
that require
immediate
intervention for
acute SDH?
What Burr holes - release blood
emergency accumulated in the between the
procedure skull and dura bc it can cause
would be neurological deficits and respiratory
preformed for a arrest
patient with a
epidural
hematoma?
- change in LOC - earliest
- disorientation, restlessness,
increased respiratory effort
Early s/s of (Kussmals), purposeless movements,
increased ICP mental confusion,
- pupillary changes and impaired
extraocular movements
-
, - Cushing's Triad
late s/s of
- bradycardia, bradypnea, widen
increased ICP
pulse pressure (increased systolic,
(vital sign
decreased diastolic_
changes)
- increased BP and temp
- patient becomes erratic
- GCS score <8
- LOC continues to deteriorate
- Chain-stokes (rhythmic waxing and
waning of ate and depth with brief
episodes of apnea
- Ataxic breathing - irregular
breathing with random deep and
Late signs of shallow breath
increased ICP - projectile vomiting
- hemiplegia
- decorticate
- decerebrate
- flaccidity before death
- loss of brain stem reflexes:
pupillary, corneal, gag, and
swallowing reflexes are not present
(signs of approaching death)
Normal ICP 5-15 mmHg
pressure
QUESTIONS AND CORRECT
ANSWERS | GRADED A+ | VERIFIED
ANSWERS | LATEST EXAM 2025
Save
Terms in this set (143)
, - CSF drainage: meningitis infection
can occur
- A depressed fracture - require
what would surgery within 24 hrs
require - A battle sign (bruising over the
immediate mastoid bone)
intervention for a - Pts who pees ALOT - indicate
patient with dilute urine --> DI
head trauma? - GCS - score <8
- Decorticate and Decerebrate
posturing
- Changes in pupils
- Dolls eyes (dilation of eyes),
What would fixation of pupils, paralysis of
require extremity ---> indicate herniation
immediate - When Turing pt head to one side,
intervention for a and if eyes turn into the same
patient with direction = bad response
TBIs? - opposite direction = normal
response
,Clinical - Coma, increase BP, decreased HR,
manifestations slow RR
that require
immediate
intervention for
acute SDH?
What Burr holes - release blood
emergency accumulated in the between the
procedure skull and dura bc it can cause
would be neurological deficits and respiratory
preformed for a arrest
patient with a
epidural
hematoma?
- change in LOC - earliest
- disorientation, restlessness,
increased respiratory effort
Early s/s of (Kussmals), purposeless movements,
increased ICP mental confusion,
- pupillary changes and impaired
extraocular movements
-
, - Cushing's Triad
late s/s of
- bradycardia, bradypnea, widen
increased ICP
pulse pressure (increased systolic,
(vital sign
decreased diastolic_
changes)
- increased BP and temp
- patient becomes erratic
- GCS score <8
- LOC continues to deteriorate
- Chain-stokes (rhythmic waxing and
waning of ate and depth with brief
episodes of apnea
- Ataxic breathing - irregular
breathing with random deep and
Late signs of shallow breath
increased ICP - projectile vomiting
- hemiplegia
- decorticate
- decerebrate
- flaccidity before death
- loss of brain stem reflexes:
pupillary, corneal, gag, and
swallowing reflexes are not present
(signs of approaching death)
Normal ICP 5-15 mmHg
pressure
