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NR 341 Neuro – Questions And Verified Answers (Rated A+) $12.99
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Exam (elaborations)

NR 341 Neuro – Questions And Verified Answers (Rated A+)

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NR 341 Neuro – Questions And Verified Answers (Rated A+)

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  • November 15, 2024
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  • 2024/2025
  • Exam (elaborations)
  • Questions & answers
  • NR 341
  • NR 341
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LeCrae
NR 341 Neuro – Questions And Verified Answers
(Rated A+)

What is the max GCS score? Right Ans - 15

What is the minimum GCS score? Right Ans - 3

What GCS score should you intubate? Right Ans - 8 and under

What are the limitations of the GCS? Right Ans - age, drugs, and language

What is normal intracranial pressure (ICP)? Right Ans - 5-15 mmHg

What are the signs and symptoms of increased ICP? Right Ans - change in
LOC, change in speech, change in vital signs, seizures, headache, vomiting, eye
changes, posture changes

What is the first sign of increased ICP? Right Ans - changes in LOC

What is cushing's triad? Right Ans - an effect of increased ICP of increased
systolic BP, decreased pulse, and cheyne-stokes respirations

What is Cheyne-Stokes respiration? Right Ans - it is an abnormal rhythm of
breathing with alternation periods of hyperventilation and apnea

What is Kussmaul respiration? Right Ans - deep, rapid breathing often
induced by acidosis

What condition does Kussmaul respirations commonly occur with? Right
Ans - DKA

What posture changes occurs with increased ICP? Right Ans - decerebrate,
decorticate,or flaccid

What is decerebrate posturing? Right Ans - Extensor response; problem
with midbrain or pons

, What is decorticate posturing? Right Ans - Flexor response; problem with
cervical spinal tract or cerebral hemisphere

What are the eye changes that occur with increased ICP? Right Ans -
papilledema, pupillary changes, impaired eye movement

What is a common cause of increased brain volume? Right Ans - cerebral
edema; can also be caused by a tumor or meningitis

What causes increased blood volume? Right Ans - loss of auto-regulation,
decreased oxygenation, hypercapnia, increased metabolic demands, and
obstruction of venous outflow

What causes increased cerebrospinal fluid? Right Ans - hydrocephalus,
blockage of normal flow, obstruction of normal re-absorption, and excess
production of CSF

What is cerebral perfusion pressure (CPP) dependent upon? Right Ans -
intracranial pressure (ICP) and mean arterial pressure (MAP)

What is a normal cerebral perfusion pressure (CPP)? Right Ans - 50-70

What does a low cerebral perfusion pressure (CPP) result in? Right Ans -
loss of auto-regulation and hypoxic insult to brain tissue

Nursing Mgmt. ICP: What is the maintenance goal of ICP? Right Ans - ICP <
20 mmHg

Nursing Mgmt. ICP: What is the maintenance goal of CPP? Right Ans - < 70
mmHg

Nursing Mgmt. ICP: Care should be ________ to allow rest. Right Ans - spaced

Nursing Mgmt. ICP: Suctioning should be _______. Right Ans - minimum/PRN

Nursing Mgmt. ICP: What should the HOB be at? Right Ans - 30-45 degrees
(Semi-Fowler's); keep neck in neutral position

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