Article questions
What score on the Glascow coma scale would indicate a fully conscious person?
15
Name 3 interdisciplinary teams often involved with stroke patients
OT, PT, social work, pharmacy
The nurse is providing a community-based teaching course to a group of high school parents concerning brain injury. Which participant statement indicates accurate understanding of the population most at risk for traumatic brain injury (TBI)?
"They are most common in the very young (0–4years) or old (65 years and above).
The nurse is monitoring a client with increased intracranial pressure who is experiencing status epilepticus. Which intervention has the highest priority for this client?
A. Establishing and maintaining an airway
What is one of the initial pharmacological interventions for increased intracranial pressure?
analgesics, osmotic diuretics, hypertonic saline
A nurse is assessing a client for manifestations of Parkinson's disease. Which of the following are expected findings?
A. decreased vision
B. pill-rolling tremor of the fingers
C. Shuffling gate
D. drooling
E. bilateral ankle edema
F. lack of facial expressions
B. pill-rolling tremor of the fingers
C. Shuffling gate
D. drooling
F. lack of facial expressions
What are some factors that can cause intracranial impairment?
reduced blood flow to the brain
compromised neurotransmission
damage to brain tissue
The nurse is preparing to conduct a neurologic assessment interview with a client. Which general question should the nurse ask when conducting this assessment? (Select all that apply.)
A. "Do you have any problems with balance or coordination?"
B."Are you having any problems with your memory?"
C."Do you have a history of seizures or fainting?"
D."How many fingers am I holding up at this time?"
E."Are you experiencing any pain?"
A, B, C, E
Asking to identify the number of fingers would focus on the client's vision.
What are some risk factors for dysfunctional ICR?
Sleep disturbances, increased circulating hormones, increased hospital length of stay
What are 3 disease processes related to ICR?
Parkinsons, dementia, stroke, Alzheimers, epilepsy, encephalopathy
The nurse is caring for a client with an altered level of consciousness. To assess the level of consciousness, the nurse administers the Glasgow Coma Scale. Which response does this scale measure? (Select all that apply.)
B, C, E
eye opening, motor response, verbal response
What are some important diagnostics for ICR?
MRI, CT, angiogram, CSF analysis, biopsy, lumbar puncture
What are normal brain tissue oxygen tension values and how is this value monitored?
A normal value for brain tissue oxygen tension would be between 30 and 50mmHg
This value is monitored via a probe placed into brain tissue, often combined with an ICP monitor.
What type of diuretics are often used for ICR?
osmotic
The nurse is caring for a client with increased intracranial pressure secondary to a brain tumor. Which position should the nurse place the client in to help decrease intracranial pressure?
A. Semi fowler
This is the best position for decreasing intracranial pressure
What is a leading cause of traumatic brain injury among all ages?
car accident
What is a depressive craniectomy and what are some risks associated with performing one?
Hemorrhagic infarcts, cortex necrosis, increased brain edema at the surgical site, contralateral subdural hematoma, hydrocephalus, and infection
What are some factors that can cause problems with ICR?
reduced blood flow to the brain
compromised neurotransmission
damage to brain tissue
Which intravenous fluid prescription noted by the nurse in orders for a client being treated for increased intracranial pressure (IICP) should the nurse contact the healthcare provider about for clarification?
C. 1/2 NS
Rationale:
Name one medication used for Parkinsons disease
Carbidopa/levidopa , dopamine agonists