ICP Study guides, Class notes & Summaries

Of the following patients, the nurse recognizes that the one with the highest risk for a stroke is a(n) A. obese 45-yr-old Native American B. 35-yr-old Asian American woman who smokes C. 32-yr-old white woman taking oral contraceptives D. 65-yr-old African American man with hypertension correct answer: D. 65-yr-old African American man with hypertension The factor related to cerebral blood flow that most often determines the extent of cerebral damage from a stroke is the A. a...

Pediatric triangle appearance work of breathing circulation to skin General appearance considerations Tone Interactiveness: drawn to sounds or people. Wants to play Consolability Look/Gaze Speech/cry Work of breathing: Increased work of breathing evidenced by tachypnea, stridor, grunting, retractions, accessory musles, nasal flaring, head bobbing, abnormal positioning Circulation to Skin Observe palor mottling cyanosis Sick, Sicker, Sickest Sick: no disru...

The nurse notes that a patient with a head injury has a clear nasal drainage. The most appropriate nursing action for this finding is to a. obtain a specimen of the fluid and send for culture and sensitivity. b. take the patient's temperature to determine whether a fever is present. c. check the nasal drainage for glucose with a Dextrostik or Testape. d. have the patient to blow the nose and then check the nares for redness. - Answer - Correct Answer: C Rationale: If the drainage is cerebr...

1. A nurse is caring for a client who who has had a stroke involving the right hemisphere. Which of the following alterations in function should the nurse expect? A. Difficulty reading Rationale: The left hemisphere is the center for language, mathematic skills and thinking analytically. A client who is unable to read following a stroke would have involvement of the left hemisphere. B. Inability to recognize his family members Rationale: The right hemisphere is involved with visual and spati...

The nurse is caring for a patient with increased intracranial pressure (ICP). Which action would be considered to be a collaborative intervention? a. Decreasing perfusion b. Administering an osmotic diuretic c. Assessing orientation d. Assessing for edema correct answer: ANS: B Which assessment finding would be the earliest and most sensitive indicator that there is an alteration in intracranial regulation? a. Change in level of consciousness b. Inability to focus visually c. Loss o...

ECCO Caring for Patients with Neurologic Disorders: Part 1 Questions and Answers 100% Pass What vital sign assessments herald impending brainstem herniation? Increased SBP w/widening pulse pressure, changes in respirations, and bradycardia A patient is admitted after sustaining traumatic brain injury in a motorcycle crash. The patent's GCS score on admission is E 2, M 3, V 1T = 6T. Which of the following should the nurse perform to prepare the patient for ICP monitoring? Prior to placement of ...

ATI MED SURG PROCTORED EXIT EXAM( 2 DIFFERENT VERSIONS )2023 -2024 / MED SURG ATI PROCTORED EXAM 2023-2024 | AGRADE 97% SUCCESS RATE | WELL ORGANISED,EASY TO READ AND COMPREHENSIVE STUDY GUIDE 1. A nurse is caring for a client who is postoperative following a tracheostomy, and has copious and tenacious secretions. Which of the following is an acceptable method for thenurse to use to thin this client's secretions? 1) Provide humidified oxygen. → want to hyperoxygenate prior to suction 2...

ADVANCED PATHOPHYSIOLOGY UTMB 5355 EXAM 3 /UTMB5355 Exam 3 QUESTIONS AND VERIFIED ANSWERS 2023/2024 LATEST GUIDE. 2 / 11 1. Biogenic AmineTheory linked to depression: Deficiency of neurotransmittersin brain of norepinephrine, dopamine, and/or serotonin. Particularly, a decrease in receptor binding with serotonin. 2. Neurotransmitter Receptor Hypothesis linked to depression: A deficiency ofmonoamine neurotransmitters at neuronal synapses. 3. Antidepressants increase: Neuronal synaptic l...

Nur 265 Literally Exam 3. (Answered) Complete Solution #1: The nurse is working in the emergency department (ED) is admitting a client who has sustained a traumatic brain injury (TBI) following a motor vehicle crash. It is priority for the nurse to notify the primary healthcare provider (PHCP) in the client: Takes prescribed warfarin daily. RATIONALE: Pg. 2400. Hemorrhage may occur as part of the primary injury and begin at the moment of impact. Warfarin is a blood thinner and the patient may...