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NUR 211 TBI, SCI, and Chronic problems final exam with correct questions and answers/
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NUR 211 TBI, SCI, and Chronic problems final exam with correct questions and answers/NUR 211 TBI, SCI, and Chronic problems final exam with correct questions and answers/NUR 211 TBI, SCI, and Chronic problems final exam with correct questions and answers/NUR 211 TBI, SCI, and Chronic problems...

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  • August 12, 2024
  • 15
  • 2024/2025
  • Exam (elaborations)
  • Questions & answers

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  • nur 211 tbi sci and chronic problems final exam

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  • Nur 211
  • Nur 211

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NUR 211 TBI, SCI, and Chronic problems final exam with
correct questions and answers/ NUR 211 TBI, SCI, and Chronic
problems final exam with correct questions and answers
the patient is conscious (awake and aware) but unable to communicate because of severe paralysis -
CORRECT ANSWER-What is a locked-in state?



Positron-emission tomography (PET) and

electroencephalography (EEG) - CORRECT ANSWER-What diagnostic tests are used to support the
diagnosis of PVS?



Glasgow Coma Scale



it measures arousal/eye opening, verbal, and motor responses - CORRECT ANSWER-What is used for a
rapid neurological baseline?



What does it measure?



Best score is 15



Lowest score is 3 (dead person still gets a 3)



< 7 generally indicates a COMA - CORRECT ANSWER-What is the scoring system for GCS?



children, intoxicated patients, and patients with spinal cord injuries - CORRECT ANSWER-GCS is not a
valid measure for what kind of patients?



- nail bed pressure

- trapezius pinch

- sternal rub - CORRECT ANSWER-What are acceptable methods of noxious stimuli?

, - supraorbital pressure

- nipple pinching

- testicle pinching - CORRECT ANSWER-What are unacceptable methods of noxious stimuli?



major brain injury - CORRECT ANSWER-What does decorticate and decerebrate posturing indicate?




acceleration

deceleration

rotational forces - CORRECT ANSWER-What are the 3 types of blunt trauma associated with TBIs?



penetrating and blunt traumas - CORRECT ANSWER-What are the mechanisms of brain injuries?



primary injury (TBI) - CORRECT ANSWER-- initial injury to the brain sustained by impact

- may be mild or severe



EX: contusion, laceration, shearing injuries, and hemorrhage



secondary injury (TBI) - CORRECT ANSWER-- The biochemical and cellular response to the initial
trauma

- Can exacerbate the primary injury and cause loss of brain tissue not originally damaged



ischemia - CORRECT ANSWER-What is the primary culprit in secondary brain injuries?



- hypercapnia which results in cerebral vasodilation and increased cerebral blood volume and ICP

- significant hypotension which causes inadequate perfusion to neural tissue (NOT typical with TBI)

- cerebral edema

- increased ICP with HTN - CORRECT ANSWER-What can occur with a secondary brain injury?

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