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NUR 370 FINAL- UNIT 4 QUESTIONS AND CORRECT ANSWERS
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Glascow Coma Scale 3 part assessment- eye opening, verbal responses, motor response Duchenne Muscular dystrophy - diagnosis H&P, creatine kinase, muscle biopsy Abnormal pupillary response indicating intracranial mass unilateral dilation/reactivity Abnormal pupillary response indicating impending...

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  • August 27, 2024
  • 14
  • 2024/2025
  • Exam (elaborations)
  • Questions & answers

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  • nur 370 final unit 4 questions and correct answer
  • glascow coma scale 3 part assessment eye opening
  • duchenne muscular dystrophy diagnosis hp crea

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  • NUR 370
  • NUR 370

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NUR 370 FINAL- UNIT 4 QUESTIONS
AND CORRECT ANSWERS
Glascow Coma Scale ✅3 part assessment- eye opening, verbal responses, motor
response

Duchenne Muscular dystrophy - diagnosis ✅H&P, creatine kinase, muscle biopsy

Abnormal pupillary response indicating intracranial mass ✅unilateral dilation/reactivity

Abnormal pupillary response indicating impending brainstem herniation ✅fixed and
dilated pupil unilaterally

Abnormal pupillary response indicating ICP due to brainstem herniation ✅bilaterally
fixed and dilated pupils

Decorticate posture ✅flexion and internal rotation; due to severe dysfunction of
cerebral cortex or lesions to corticospinal tracts above brain stem

Deceberate posture ✅extension, pronation, arched back; due to dysfunction of the
midbrain or lesions to the brain stem

Opisthotonic posture ✅prolonged spams= arching of everything and arms/hands flex
rigidly at the joints due to meningeal inflammation

Assessment of head injury ✅ABCs, evaluate for chock, change In LOC, pupils,
seizures, VS

VS of head injury ✅deep, rapid, periodic, or intermittent gasping respirations, wide
fluctuation sof pulse, widening pulse pressure & fluctuation in BP (brain stem is
involved), hypotension (internal bleeding); asses for external injuries

Early signs of ICP ✅pupils not equal/normally reactive, sunset eyes, change in LOC or
VS, seizures, N/V/dizzy, diplopia

Late signs of ICP ✅significant dec in LOC, inc systolic BP, widened pulse pressure,
bradycardia, irregular respirations, fixed, dilated pupils

Signs specific to infants of ICP ✅bulging fontanel, wide sutures, increasing OFC,
dilated scalp veins, high pitched or catlike cry

, Subdural Hematoma ✅bleeding between dura and cerebrum, spreads thinly and
widely until limited by Dural barriers

Subdural hematoma occurs secondary to ✅birth trauma, falls, assaults, violent shaking

Subdural Hematoma sx and when they occur ✅48-72 hours post injury; change in
LOC, N/V, headache, retinal hemorrhages, unilat. pupil dilation and fixation ( side of
injury) seizures, fever

Subdural Hematoma tx ✅subdrual taps, surgical evacuation

Subdural Hematoma prognosis ✅most die and if they survive develop sezirues

Difference between subdural and epidural hematomas ✅sub= slower, 10x more
frequent, common in infants

Epidural hematoma ✅blood accumulation between dura and skull rapid expansion
compresses brain tissue

Epidural hematoma is confirmed by____ and seen how after? ✅CT scan, rarely and
almost never is child is less than 4 yoa

Epidural hematoma sx ✅loss of consciousness followed by lucid period and rapid
deterioration, lethargy, full fontanel, papilledema, paresis of CN that control eye
movement, fixed and dilated pupil, signs of ICP

Epidural hematoma requires ✅immediate surgical intervention- craniotomy and
evacuation of hematoma, prognosis is usually good, but most have seizures

Febrile seizure most common in ✅6mos-3 years, rare after age five

Febrile seizures are often associated with ✅upper respiratory or GI infection

Febrile seizures duration/ tx ✅usually stop on their own quickly, if not give diazepam
and acetaminophen SEEK MED ATTENTION IF LONGER THAN 10 min

Status epilepticus ✅continuous seizure lasting > 30 min or series of seizures with no
recovery period/regaining of consciousness MEDICAL EMERGENCY

Status elipticus nursing considerations ✅maintain airway (give O2), IV meds

Iv meds given for status elipticues ✅diazepam, phenobarbital or lorazepam

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