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RNSG 2539 EXAM 3 – Cognition Questions With 100% Verified Answers $11.49
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RNSG 2539 EXAM 3 – Cognition Questions With 100% Verified Answers
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RNSG 2539 EXAM 3 – Cognition Questions With 100% Verified Answers Most common times that deaths occur after a head injury - answer1. Immediately After 2. Within 2 hours 3. Within 3 weeks Complications with scalp lacerations - answer- Profuse Bleeding - Infection Many blood vessels in the s...

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  • October 2, 2024
  • 16
  • 2024/2025
  • Exam (elaborations)
  • Questions & answers

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  • rnsg 2539 exam 3 cognition questions with 100 v

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©BRAINBARTER 2024/2025




RNSG 2539 EXAM 3 – Cognition Questions
With 100% Verified Answers


Most common times that deaths occur after a head injury - answer✔1. Immediately After
2. Within 2 hours
3. Within 3 weeks

Complications with scalp lacerations - answer✔- Profuse Bleeding
- Infection


Many blood vessels in the scalp. Even a small cut can cause much bleeding

Manifestations of frontal fracture - answer✔air in forehead tissue
CSF rhinorrhea,
pneumocranium (air between cranium and dura mater)

Manifestations of Orbital Fracture - answer✔Periorbital ecchymosis (raccoon eyes)
optic nerve injury

Manifestations of Temporal Fracture - answer✔oval-shaped bruise behind ear in mastoid region
(Battle's sign)
CSF otorrhea
middle meningeal artery disruption
epidural hematoma

Manifestations of Parietal fracture - answer✔Deafness
CSF or brain otorrhea
bulging of tympanic membrane caused by blood or CSF

, ©BRAINBARTER 2024/2025


facial paralysis
loss of taste
Battle's sign

Manifestations of Posterior fossa fracture - answer✔cortical blindness
visual field defects
rare appearance of ataxia or other cerebellar signs

Manifestations of Basilar skull fracture - answer✔CSF or brain otorrhea
bulging of tympanic membrane caused by blood or CSF
Battle's sign
tinnitus or hearing difficulty
rhinorrhea
facial paralysis
conjugate deviation of gaze
vertigo

How to test fluids for CSF - answer✔1. glucose test (unreliable if there is blood) - Dextrostix or
Tes-Tape


2. Halo sign

Nursing Interventions for Skull Fracture - answer✔*Basilar*
Orgosastric tube NOT NGT


- IF GCS Less than 8....INTUBATE
- Determine CSF leakage
- Eye drops/ eye patch for diplopia
- Remove patient's clothing
- Keep patient warm
- Monitor for S&S of hyperthermia

, ©BRAINBARTER 2024/2025


- Monitor for Infection

Diffuse Brain Injury - answer✔Ex. Concussion


- Injury cannot be localized to one particular area
- Pt may or may not lose total consciousness
- If loss of LOC is <5 min then sent home with HCP instructions


*Postconcussion syndrome*
- Occurs within 2 weeks to 2 months
- Lethargy, HA, personality changes, decreased memory and intellectual ability


*Diffuse Axonal Injury (DAI)*
- Widespread axonal damage after TBI
- Takes 12-24 hours or longer to develop
- decreased LOC, increased ICP, decortication or decerebration, and global cerebral edema
- 90% of pts remain in persistant vegetative state

Focal Brain Injury - answer✔- Tissue damage is severe
- Surgical repair is impossible


*antibiotics (until meningitis ruled out*


unconsciousness,
*hemiplegia on the contralateral side*
*a dilated pupil on the ipsilateral side*

Contusions - answer✔- bruising of the brain tissue within a focal area
- usually associated with a closed head injury

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