Increased icp Samenvattingen, Aantekeningen en Examens

RN Adult Medical Surgical Online Practice 2023 1.A home health nurse is assigned to a client who was recently discharged from a rehabilitation center after experiencing a right-hemispheric stroke. Which of the following neurologic deficits should the nurse expect to find when assessing the client? ( select all that apply) Visual spatial deficits Left hemianopsia ( blindness in the left half of the visual field) One-sided neglect 2.A nurse is reviewing the health record of a client who is ...

NURSING NUR 254 Exam 4 Study Material 2023 Maternal 1. The nurse is caring for a child who has leukemia with a white blood cell (WBC) count of < 1000 mm. Which of the following should the nurse include in the child’s plan of care? a. Administer prescribed influenza vaccination b. Assign the child to a room with other children c. Allow the child to play with other children who do not have a fever d. Use sterile techniques for any procedures 2. The nurse is providing a teaching ses...

TNCC 9th Edition Written Exam What is the best measure of the adequacy of cellular perfusion and helps predict the outcome of resuscitation? correct answerBase deficit used in conjunction with serum lactate Will hypocapnia cause vasoconstriction or vasodilation, especially in the cerebral vasculature? correct answerVasoconstriction What results from tissue hypo perfusion and oxygen deficit? correct answerMetabolic acidosis What type of shock results in generalized ...

-decreased LOC(lethargy to coma) -restlessness, irritability, confusion -headache -projectile N&V -change in speech pattern/slurred speech -dilated nonreactive pupils or constructed nonreactive pupils -ataxia -seizure -abnormal posturing -Cushing's triad: severe HTN, widened pulse pressure, bradycardia Key sx of increased ICP - Symptoms of increased ICP -severe HTN, widened pulse pressure, bradycardia What is Cushing's triad - Most at risk during 1st 72 hours after stroke onset ...

NUR206 UNIT PEDS EXAM 3 Questions And Answers All Verified Which of the following phrases describes a characteristic of most neonatal seizures? A. Generalized seizure B. Tonic-clonic seizure C. Well-organized seizure D. Subtle and barely discernible seizure - ANS D. Subtle and barely discernible seizure Signs of seizures in newborns are subtle. They include symptoms such as lip smacking, tongue thrusting, eye rolling, and arching of the back. The newborn's central nervous system is n...

ATI PN PEDIATRICS EXAM ACTUAL EXAM QUESTIONS AND CORRECT ANSWERS WITH RATIONALES ALREADY GRADED A+ Priority finding to report for a brain tumor= - CORRECT ANSWER-Increased intracranial pressure (ICP) A nurse is caring for an adolescent who has sustained a closed head injury. Which of the following are clinical manifestations of increased intracranial pressure (ICP)? Select all. A. Report of headache B. Alteration in pupillary response C. Increased motor response D. Increased sleeping...

Med Surg II Exam 4, Fortis Med/surg 2 exam 4 with Complete Solution 2023 which patient in the progressive care unit would the nurse be most concered about? {{Ans:- a patient prescribed tPA or IV heparin that has the opportunity to bleed out which patient on ventilator weaning should the nurse be most concerned about? {{Ans:- -the pt who has recently been extubated with a decreased urinary output what to do for a patient with a subarachnoid hemorrhage and ICP? {{Ans:- -check for JV...

1. Select the main structures below that play a role with altering intracranial pressure: A. Brain B. Neurons C. Cerebrospinal Fluid D. Blood E. Periosteum F. Dura mater - The answers are A, C, and D. Inside the skull are three structures that can alter intracranial pressure. They are the brain, cerebrospinal fluid (CSF), and blood. 2. The Monro-Kellie hypothesis explains the compensatory relationship among the structures in the skull that play a role with intracranial pressure. Which o...

A client presents with a headache and complaining of vision difficulties. Which cranial nerve might be defective in this client? A) VIII (Vestibulocochlear) B) VII (Facial) C) XI (Accessory) D) III (Oculomotor) Answer: D A client presents to the ED with loss of consciousness. The RN evaluates the client using the Glasgow Coma Scale. The results are as follows: Eyes open to speech Abnormal flexion of extremities Use of inappropriate words What would the RN estimate this clie...

Comp #1 Spinal Cord Injury/Surgery/Procedure - Expected finding: o Decreased reflexes o Numbness/tingling o Inability to urinate (from low spinal cord injury) - Not Expected: o Decreased RR. o Headache (increased ICP) o CSF halo (yellow fluid) - Post-Op: o Airway, circulation o Monitor for ICP, Neuro checks, VS closely - Complication: o Autonomic Dysreflexia. S/S:  Numbness & tingling (expected)  Severe hypotension  Cessation of breathing (not expected). Heparin/Enoxaparin (LMWH) - Anti...

1) A client admitted to the hospital with a subarachnoid hemorrhage has complaints of severe headache, nuchal rigidity, and projectile vomiting. The nurse knows lumbar puncture (LP) would be contraindicated in this client in which of the following circumstances? 1. Vomiting continues 2. Intracranial pressure (ICP) is increased 3. The client needs mechanical ventilation 4. Blood is anticipated in the cerebralspinal fluid (CSF) 2 Sudden removal of CSF results in pressures lower in the lumba...