NR 341 Neuro questions with correct answers
What is the max GCS score? Correct Answer-15
What is the minimum GCS score? Correct Answer-3
What GCS score should you intubate? Correct Answer-8 and under
What are the limitations of the GCS? Correct Answer-age, drugs, and
language
What is normal intracranial pressure (ICP)? Correct Answer-5-15
mmHg
What are the signs and symptoms of increased ICP? Correct Answer-
change in LOC, change in speech, change in vital signs, seizures,
headache, vomiting, eye changes, posture changes
What is the first sign of increased ICP? Correct Answer-changes in LOC
What is cushing's triad? Correct Answer-an effect of increased ICP of
increased systolic BP, decreased pulse, and cheyne-stokes respirations
What is Cheyne-Stokes respiration? Correct Answer-it is an abnormal
rhythm of breathing with alternation periods of hyperventilation and
apnea
,What is Kussmaul respiration? Correct Answer-deep, rapid breathing
often induced by acidosis
What condition does Kussmaul respirations commonly occur with?
Correct Answer-DKA
What posture changes occurs with increased ICP? Correct Answer-
decerebrate, decorticate,or flaccid
What is decerebrate posturing? Correct Answer-Extensor response;
problem with midbrain or pons
What is decorticate posturing? Correct Answer-Flexor response;
problem with cervical spinal tract or cerebral hemisphere
What are the eye changes that occur with increased ICP? Correct
Answer-papilledema, pupillary changes, impaired eye movement
What is a common cause of increased brain volume? Correct Answer-
cerebral edema; can also be caused by a tumor or meningitis
What causes increased blood volume? Correct Answer-loss of auto-
regulation, decreased oxygenation, hypercapnia, increased metabolic
demands, and obstruction of venous outflow
, What causes increased cerebrospinal fluid? Correct Answer-
hydrocephalus, blockage of normal flow, obstruction of normal re-
absorption, and excess production of CSF
What is cerebral perfusion pressure (CPP) dependent upon? Correct
Answer-intracranial pressure (ICP) and mean arterial pressure (MAP)
What is a normal cerebral perfusion pressure (CPP)? Correct Answer-
50-70
What does a low cerebral perfusion pressure (CPP) result in? Correct
Answer-loss of auto-regulation and hypoxic insult to brain tissue
Nursing Mgmt. ICP: What is the maintenance goal of ICP? Correct
Answer-ICP < 20 mmHg
Nursing Mgmt. ICP: What is the maintenance goal of CPP? Correct
Answer-< 70 mmHg
Nursing Mgmt. ICP: Care should be ________ to allow rest. Correct
Answer-spaced
Nursing Mgmt. ICP: Suctioning should be _______. Correct Answer-
minimum/PRN
The benefits of buying summaries with Stuvia:
Guaranteed quality through customer reviews
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying these notes from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller cracker. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $15.49. You're not tied to anything after your purchase.