NUR 445 Exam 3 Questions and Answers| New Update with 100% Correct Answers
What are some complications associated with brain tumors? Increased ICP seizures,
bleeding, Venous Thromboembolism Cerebral edema
What are signs of increase ICP Most sensitive is decreasing LOC Stupor and coma
Cushing triad-widen, post pressure, increase heart rate, irregular, respirations known as
Cheyenne strokes
Hemiparesis, headache, papilledema -fleeting vision changes, blurred vision, flickering total
vision lost
Cognitive impairment, vertigo, n/v
How can we monitor ICP? Intraventricular catheters
What's sedatives can be used to treat increased ICP Morphine propofol fentanyl Midazolam
What diuretic is used to decrease ICP Mannitol
What is the most common type of stroke? ischemic stroke
What is the treatment for ischemic stroke? tPA within 4.5 hours (so long as patient presents
within 3 hours of onset and there is no major risk of hemorrhage)
Why is TPA not safe to give after 4.5 hours of onset of ischemic stroke? The longer ischemic
stroke is untreated the higher risk of it becoming hemorrhagic
What is neurogenic shock blood vessels don't get signals from sympathetic nervous system
often results of injury to brain tissue or spinal cord
, Signs and symptoms of neurogenic shock Bradycardia, low blood pressure, signs of neck
injury, absence of sweating below the level of injury and normal and dry skin temperature
dysregulation
What discharge teaching is important for patients diagnosed with brain tumors Watch for
and report signs and symptoms of increased ICP
Why is dexamethasone used for brain tumor patients? Steroids prevents or decreases
cerebral edema, accompanying brain tumors
What position should a patient at risk for cerebral edema be placed in Semi Fowlers 45°
angle to prevent increasing ICP
What are some nursing considerations for brain tumor patients? Serial neural assessments
after surgery
GCS important to get baseline prior to procedure
Check sodium labs regularly hyponatremia increases risk for cerebral edema. Hypernatremia
increases risk for seizure activity.
IV. Lorazepam can be used for seizure treatment.
For safety seizure precautions
What is levetriacetam indicated for patient teaching Anticonvulsant to prevent seizures
Teaching do not skip doses wear medical alert bracelet inform the physician of all medication
alcohol with this medication
What is some patient discharge teaching for brain tumor patients? Keep head of bed, raised
and sleep with head and neutral position, prevent straining by using fiber, fluids, and stool
softeners
What are some signs and symptoms of brain tumors? - Headache
What are some complications associated with brain tumors? Increased ICP seizures,
bleeding, Venous Thromboembolism Cerebral edema
What are signs of increase ICP Most sensitive is decreasing LOC Stupor and coma
Cushing triad-widen, post pressure, increase heart rate, irregular, respirations known as
Cheyenne strokes
Hemiparesis, headache, papilledema -fleeting vision changes, blurred vision, flickering total
vision lost
Cognitive impairment, vertigo, n/v
How can we monitor ICP? Intraventricular catheters
What's sedatives can be used to treat increased ICP Morphine propofol fentanyl Midazolam
What diuretic is used to decrease ICP Mannitol
What is the most common type of stroke? ischemic stroke
What is the treatment for ischemic stroke? tPA within 4.5 hours (so long as patient presents
within 3 hours of onset and there is no major risk of hemorrhage)
Why is TPA not safe to give after 4.5 hours of onset of ischemic stroke? The longer ischemic
stroke is untreated the higher risk of it becoming hemorrhagic
What is neurogenic shock blood vessels don't get signals from sympathetic nervous system
often results of injury to brain tissue or spinal cord
, Signs and symptoms of neurogenic shock Bradycardia, low blood pressure, signs of neck
injury, absence of sweating below the level of injury and normal and dry skin temperature
dysregulation
What discharge teaching is important for patients diagnosed with brain tumors Watch for
and report signs and symptoms of increased ICP
Why is dexamethasone used for brain tumor patients? Steroids prevents or decreases
cerebral edema, accompanying brain tumors
What position should a patient at risk for cerebral edema be placed in Semi Fowlers 45°
angle to prevent increasing ICP
What are some nursing considerations for brain tumor patients? Serial neural assessments
after surgery
GCS important to get baseline prior to procedure
Check sodium labs regularly hyponatremia increases risk for cerebral edema. Hypernatremia
increases risk for seizure activity.
IV. Lorazepam can be used for seizure treatment.
For safety seizure precautions
What is levetriacetam indicated for patient teaching Anticonvulsant to prevent seizures
Teaching do not skip doses wear medical alert bracelet inform the physician of all medication
alcohol with this medication
What is some patient discharge teaching for brain tumor patients? Keep head of bed, raised
and sleep with head and neutral position, prevent straining by using fiber, fluids, and stool
softeners
What are some signs and symptoms of brain tumors? - Headache
