University:
Georgia Southern University
Course:
NURS 4207 | Adult Health 1
Academic year:

2024
Views:

177

Pages:

2
Author:

Jalen W.

Name: Fall 2024 NURS 4207 What is the purpose of the ventriculostomy system used for intracranial pressure monitoring in patients with traumatic brain injury? - The ventriculostomy monitoring system helps check for changes in cerebral perfusion. How should a nurse report a patient's response to nail bed pressure with internal rotation, adduction, and flexion of the arms? - Internal rotation, adduction, and flexion of the arms in an unconscious patient is documented as decorticate posturing. What parameter should a nurse monitor to determine the effectiveness of IV mannitol administration in an unconscious patient? - Mannitol is an osmotic diuretic that reduces cerebral edema and intracranial pressure. How should a nurse record the Glasgow Coma Scale score for a patient with a head injury who opens eyes to verbal stimulation, curses when stimulated, and attempts to push away a painful stimulus? - The patient has scores of 3 for eye opening, 3 for best verbal response, and 5 for best motor response. What is the best action for a nurse to take when an unconscious patient with a head injury is admitted to the emergency department and family members ask many questions about the treatment? - The nurse should allow the family to stay with the patient and explain the procedures unless they interfere with emergent care needs. Which nursing intervention is included in the plan of care for a patient with ineffective cerebral tissue perfusion and cerebral tissue swelling? - The patient with increased intracranial pressure (ICP) should be maintained in a position to help reduce ICP. What action should a nurse take after noting that a patient with a head injury has developed clear nasal drainage? - Clear nasal drainage in a patient with a head injury suggests a dural tear and cerebrospinal fluid (CSF) leakage. What action will the emergency department nurse anticipate for a patient diagnosed with a concussion who did not lose consciousness? - A patient with a minor head trauma is usually discharged with instructions about monitoring neurologic status. What is the principal treatment for a patient admitted with a suspected epidural hematoma? - The principal treatment for epidural hematoma is rapid surgery to remove the hematoma and prevent herniation.

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