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...
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
- 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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