Page 1 of 77
NR325 / NR325 Adult Health II | Med – Surg 2 | Exam
2 (Latest 2025) - Chamberlain
Neurological Diagnostic Procedures .....ANSWER.....-Cerebral
angiography
-cerebral computed tomography (CT) scan
-Electroencephalography (EEG)
-Glasgow coma Scale (GCS)
-ICP monitoring
-spinal tap
-MRI
-Positron emission tomography (PET)
-single-photon emission computed tomography (SPECT)
-radiography (x-ray)
,Page 2 of 77
cerebral angiography .....ANSWER.....*indications*: assesses
bloodflow to/within brain, identifies aneurysms, defines tumor
vascularity, can be used to inject medications
*intraprocedure*
-catheter placed into artery (groin/neck), dye injected, x-rays
taken
-catheter removed once pics are finished, closure
device/pressure held over artery to control bleeding by forming
a thrombus and sealing the artery off.
Nursing considerations pre-cerebral angiography
.....ANSWER.....-weigh benefits before allowing preg patient to
continue
-instruct client: NPO 4-6 hrs before and void right before
-assess for allergies
-obtain hx of bleeding/anticoags
,Page 3 of 77
-assess BUN/creatinine to determine ability to excrete dye
-ensure they're wearing 0 jewelry
-mild relaxing sedative sometimes administered, vitals monitored
during.
-client will feel warmth through face and taste something metallic
as dye is injected
Nursing considerations post-cerebral angiography
.....ANSWER.....-closely monitor area to ensure proper clotting
-restrict client's movements depending on procedure used to seal
artery
-place ice pack on insertion site
*complications*
-risk for bleeding/hematoma @ site so
--check frequently
, Page 4 of 77
--if bleeding occurs, apply pressure & call HCP
-check extremity distal to puncture site for adequate circulation
Intracranial pressure .....ANSWER.....-normal is 10-15 mmHg,
elevation minimizes cerebral circulation and can lead to brain
death
-monitoring is done for ID/treatment of > ICP.
-patients with GCS scores 8 or lower are candidates
-*s/s increased ICP:*
-severe headache
-irritability
-dilated pupils
-slowness
-breathing alterations
-motor fxn deterioriateion
NR325 / NR325 Adult Health II | Med – Surg 2 | Exam
2 (Latest 2025) - Chamberlain
Neurological Diagnostic Procedures .....ANSWER.....-Cerebral
angiography
-cerebral computed tomography (CT) scan
-Electroencephalography (EEG)
-Glasgow coma Scale (GCS)
-ICP monitoring
-spinal tap
-MRI
-Positron emission tomography (PET)
-single-photon emission computed tomography (SPECT)
-radiography (x-ray)
,Page 2 of 77
cerebral angiography .....ANSWER.....*indications*: assesses
bloodflow to/within brain, identifies aneurysms, defines tumor
vascularity, can be used to inject medications
*intraprocedure*
-catheter placed into artery (groin/neck), dye injected, x-rays
taken
-catheter removed once pics are finished, closure
device/pressure held over artery to control bleeding by forming
a thrombus and sealing the artery off.
Nursing considerations pre-cerebral angiography
.....ANSWER.....-weigh benefits before allowing preg patient to
continue
-instruct client: NPO 4-6 hrs before and void right before
-assess for allergies
-obtain hx of bleeding/anticoags
,Page 3 of 77
-assess BUN/creatinine to determine ability to excrete dye
-ensure they're wearing 0 jewelry
-mild relaxing sedative sometimes administered, vitals monitored
during.
-client will feel warmth through face and taste something metallic
as dye is injected
Nursing considerations post-cerebral angiography
.....ANSWER.....-closely monitor area to ensure proper clotting
-restrict client's movements depending on procedure used to seal
artery
-place ice pack on insertion site
*complications*
-risk for bleeding/hematoma @ site so
--check frequently
, Page 4 of 77
--if bleeding occurs, apply pressure & call HCP
-check extremity distal to puncture site for adequate circulation
Intracranial pressure .....ANSWER.....-normal is 10-15 mmHg,
elevation minimizes cerebral circulation and can lead to brain
death
-monitoring is done for ID/treatment of > ICP.
-patients with GCS scores 8 or lower are candidates
-*s/s increased ICP:*
-severe headache
-irritability
-dilated pupils
-slowness
-breathing alterations
-motor fxn deterioriateion
