NR 325 EXAM 2 (NICOLE_KLEBER) QUESTIONS AND ANSWERS

NR 325 EXAM 2 (NICOLE_KLEBER)
QUESTIONS AND ANSWERS
whatvfarevfs/svfofvfheadvfinjury?vf-vfanswer--leakagevfofvfCSF
Ecchymosisvf
Battle'svfsign/raccoonvfeyes

whatvfisvfmanagementvfofvfheadvfinjury?vf-vfanswer--ensurevfpatientvfairway*
priority

whatvfisvfthevfMonro-Kellievfdoctrine?vf-vfanswer--
Ifvfonevfcomponentvfincreases,vfanothervfmustvfdecreasevftovfmaintainvfICP.

onlyvfapplicablevftovfclosedvfskullvfpatients*

whatvfisvfnormalvfICPvflevel?vf-vfanswer--5-15mmHgvf

>20mmHgvfneedsvftreatment!!

WhatvfarevfkeyvffeaturesvfofvfincreasedvfICP?vf-vfanswer--CUSHINGSvfTRIAD
lethargyvftovfcoma
changevfinvfspeech
cranialvfnervevfdysfunction
seizures
abnormalvfposturing

whatvfisvfcushingsvftriad?vf-vfanswer--
elevatedvfBP,vfDecreasedvfpulse,vfandvfdecreasedvfrespirations.vf

KEYvfcharacteristicvfofvfincreasedvfICP

howvfdovfwevfmanagevfpatientsvfleakingvfCSF?vf-vfanswer--raisevfheadvfofvfbed

NOvfsneezing/blowingvfnose/bleeding

NOvfNGvftube,vfnasotrachealvfsuctioning

HowvfdovfwevfplacevfavfpatientvfwithvfincreasedvfICP?vf-vfanswer--
elevatedvfHOBvfatleastvf30vfdegrees

whatvfisvfthevftreatmetvfforvfincreasedvfICP?vf-vfanswer--maintainvfAIRWAY*vf

Hyperventilatevfpatientvftovf"blowvfoff"vfCO2vf(CO2vfdilatesvfbloodvfvessels)

RaisevfHOB

Decreasevfmetabolicvfdemandsvfbyvfparalyzingvfandvfsedatingvfpatient

, Mannitol-vfonlyvfdiureticvfgivenvfforvfICPvf*

corticosteroids
Painvfmanagement
Intracranialvfmonitoringvf(invfventricle)

Craniotomies-vfremovesvfportionvfofvfskullvftovfallowvfforvfbrainvftovfswell.vf
Decompressivevfcraniectomy

whatvfisvfthevfONLYvfdiureticvfgivenvfforvfincreasedvfICP?vf-vfanswer--Mannitol

whatvfarevfriskvffactorsvfofvfstroke?vf-vfanswer--Obesity
Heartvfdisease
Diabetesvfmellitus
Hypercholesterolemia
Hypercoagulablevfstates
Cocaine,vfillicitvfdrugvfuse
Atrialvffibrillation-vfdevelopvfintovfclot,vfclotvfcausesvfstroke

whatvftypevfofvfseizurevfisvfthis?vf

daydramingvfseizure-vfstaringvfoffvfintovfspacevf-vfanswer--absence-vfpetitvfmalvf

usuallyvfoccursvfinvfchildren/youngvfadolecense

hyperventilationvfandvfflashingvflightsvfcanvfprecipitatevfabsencevfseizures

whatvftypevfofvfseizurevfisvfthis?

musclevfstiffeningvffollowedvfbyvfJERKING.

patientsvfwillvffallvfifvftheyvfarevfstandingvf-vfanswer--tonicvfclonic-vfgrandvfmal

whatvftypevfofvfseizurevfisvfthis?

contractionsvfofvfbodyvfmuscles;vfsuddenvfexcessivevfjerkvforvftwitchvfofvfextremitiesvf-
vfanswer--myoclonic



whatvftypevfofvfseizurevfisvfthis?

govf"limp",vfdropvfattacksvf(fallvftovfthevfground)vf-vfanswer--atonic

whatvftypevfofvfseizurevfisvfthis?

simplevfpartial,vfcomplexvfpartialvf

affectingvfonevfsidevfofvfthevfbrainvf-vfanswer--partial