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NR 325-Exam 2 Study Guide with Complete Solutions

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NR 325-Exam 2 Study Guide with Complete Solutions Normal intracranial pressurev (ICP) - Answer-5-15 mm Hg, if it's greater than 20 it's elevated. Normal Cerebral Perfusion pressure (CPP) - Answer-60-100 mm Hg Decerebrate - Answer-"e"; arms and legs held straight out, toes pointed downward, head...

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  • October 6, 2024
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NR 325-Exam 2 Study Guide with
Complete Solutions

Normal intracranial pressurev (ICP) - Answer✔✔-5-15 mm Hg, if it's greater than 20 it's elevated.


Normal Cerebral Perfusion pressure (CPP) - Answer✔✔-60-100 mm Hg


Decerebrate - Answer✔✔-"e"; arms and legs held straight out, toes pointed downward, head and neck

being arched backward, muscles tightened and held rigidly.


Decorticate - Answer✔✔-"c"; stiff with bent arms, clenched fists, legs held out straight, arms bent in

toward the body, wrists and fingers are bent and held on the chest.


CM of increased intracranial pressure - Answer✔✔-Change in LOC, lethargy, headache, aphasia, seizures,

Cushing's triage, ocular signs, unilateral pupil dilation, projectile vomiting without nausea, decerebrate

posturing.


Cushing's triage - Answer✔✔-Increased BP, Decreased HR, Decreased respirations


Encephalitis - Answer✔✔-Acute inflammation of the brain and spinal coed; caused by a virus and can be

FATAL




CM: fever, headache, seizures, rigidity, altered LOC, agitation, lethargy, photosensitivity, N/V


Brain abscess - Answer✔✔-Pus in the brain tissue



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CM: headache, lethargy, drowsiness, confusion, depressed, infection


ALS (Lou Gehrig's Disease) - Answer✔✔-Progressive degenerative neurological disease with muscle

weakness and there is no cure.




Respiratory insufficiency (airway is a priority), safety, diversional activities, death from pneumonia,

suction at bedside, upright to eat and 30 min. after, semisolid foods or NG tube feedings.


Bell's palsy - Answer✔✔-Acute peripheral facial paralysis central or peripheral in origin; inflammation of

the CN VII on one side of the face in absence of another disease; accompanied by herpes vesicles

in/around the ears.




CM: drooping of the mouth, inability to close eye, loss of extensive tearing due to lacrimal muscle

weakness.




Surgery may be needed


Meningitis - Answer✔✔-Inflammation of the brain covering.




Check the CSF, positive Kernig's and Brudzinski signs, put patient in a dark room, get a family member to

stay at the bedside since the patient is confused, bedrest.



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