The Nurse Say What
Why is the older adult more at risk for a cranial bleed after a fall?
Blood thinners/ brain atrophy
The nurse should be sure to place the call light on what side of the patient if they are having right sided weakness?
left
Mildest for of TBI, Disturbance in the Function rather than structural injury, patient may have amnesia
Concussion
The patient complains of a severe headache that awakened him at 2am in the morning. The nurse know that this is a sign of ...?
Brain tumor
The patient with a seizure disorder is experiencing seizures that only affect the mouth and the eye. the nurse know this is called what?
Focal/partial seizures
The nurse will tell the nursing student that the patient with a Right intracerebral bleed will show signs on what side of the body?
left
The nurse is caring for a young adult that was just diagnosed with bacterial meningitis. the nurse should keep the environment
quiet.. minimal stimuli
Bleeding underneath the dura mater
Subdural hematoma
The patient with ICP is on mannitol, the nurse should assess what every six hours?
electrolytes
The nurse knows that epilepsy is diagnosed when the patient experiences two unprovoked seizures how far apart?
24 hours.
After sustaining a spinal injury last night that resulted in lower limb paralysis the patient ask if the injury is going to be permanent? the nurse tells the patent what?
It is possible after the swelling subside function may or may not return
The patient with bells palsy should have what done with the affected side eye as a part of care
Bleeding in the space between the dura and skull
Epidural hematoma
The patient that suffered an injury to the pituitary gland is experiencing excessive thirst and excessive urination. The nurse knows that this can be a sign that the patient is experiencing what?
Diabetes insipidus
Left sided brain damage affects what side of the body?
Right
The nurse instructs the patient that is on dilantin to get routine blood test to avoid what?
liver damage
The patient ask the nurse where the fluid goes when the VP (Ventriculoperitoneal) shunt gets placed tomorrow?
The VP shunts pulls CSF from ventricles to the peritoneum
Bleeding that occurs within the brain that results from being struck in the head by a large heavy object
Intracerebral hematoma
Why should the carbon monoxide levels be kept at 25-30 mm Hg in a patient with ICP?
Helps reduce the ICP by vasoconstriction
The patient ask how common are brain tumors? the nurse replies that there are ________ new primary brain tumors found each year.
80,000
The nurse tells the wife of a patient who suffered a head injury in a car wreck that the HOB must stay at what degree and why?
20-30 and helps decrease ICP
The nurse is caring for a patient that has Right side paralysis after CVA. How should the nurse encourage self feeding?
put finger foods on left side of the plate
Occurs when the head goes forward in a extreme mannor and the back in an extreme manor causing the brain to have this kind of injury?
Coup-countercoup injury
The Patient is on IV Dilatin the nurse is concerned when the VS show what?
Irregular apical pulse
The nurse flexes the patients head and flexion of the thighs occur. the nurse documents that the patient showed what sign
Brudzinski