(verified) to pass
The nurse is caring for the client with increased ICP. The nurse would note which
of the following trends in vital signs if the intracranial pressure is rising?
1- Increasing temperature, increasing pulse, increasing respirations, decreasing
blood pressure
2- Increasing temperature, decreasing pulse, decreasing respirations, increasing
blood pressure
3- Decreasing temperature, decreasing pulse, increasing respirations, decreasing
blood pressure
4- Decreasing temperature, increasing pulse, decreasing respirations, increasing
blood pressure - correct answer ✔✔Answer: #2 - respiratory irregularities may
also arise
The nurse is evaluating a patient for a neurological workup. When taking the
history assessment, what are the most important pieces of information to obtain?
- correct answer ✔✔Answer: whether this is an acute or chronic condition, time
of onset, associated complaints, aggravating and relieving factors, severity,
location, duration, frequency and family history.
What are the three parts of the Glasgow Coma Scale? - correct answer
✔✔Answer: best motor response, best visual response, best vocal response
Which diagnostic test should be used for an acute neurological situation, such as a
head injury, stroke, or to rule out bleeding, where answers are needed quickly? -
correct answer ✔✔Computed tomography
,Which diagnostic test is slow, but gives very clear pictures, and is the gold
standard for brain images? - correct answer ✔✔MRI
Which diagnostic exam provides an x-ray of cerebral vessels and can be used to
diagnose cerebral aneurysms and arteriovenous malformations? - correct answer
✔✔Cerebral angiogram
What diagnostic exam is essentially an ultrasound of the carotid arteries? - correct
answer ✔✔A carotid flow study
Which diagnostic exam measures electrical activity in the brain? - correct answer
✔✔EEG
Which diagnostic exam measures electrical activity in the muscles and can be used
to diagnose neuromuscular disorders and myopathies? - correct answer ✔✔EMG
What should be assessed before a patient is tested with contrast? - correct answer
✔✔Kidney function, allergies to the dye, iodine, or shellfish
Select all the manifestation of brain tumors?SATA
a-HA worst in the morning
b-Nausea/Emesis
c-Hemiparesis
d-Fever
e-visual dysfunction - correct answer ✔✔Answer: A, B, C, E
,What is the gold standard for detecting a brain tumor? - correct answer ✔✔MRI
What are three important nursing considerations with a patient who has a brain
tumor? - correct answer ✔✔1. neurologic checks
2. Preventing ICP
3. Psychosocial support
What are the 3 classifications of spinal cord tumors? - correct answer
✔✔Intradural
Extramedullary
Extradural
T/F: Is a spinal cord compression a neurological emergency? - correct answer
✔✔True
What are the 3 most common types of cancers that metastasize to the spinal
cord? - correct answer ✔✔Breast
Prostate
Lung
What are 5 clinical manifestations of spinal cord tumors? - correct answer ✔✔-
Pain- worse when laying flat
-Weakness
-Bladder dysfunction
-Sphincter dysfunction
, -Sensory changes
What is the most common diagnostic tool for spinal cord tumors? - correct answer
✔✔MRI
What are 4 ways to medically manage spinal cord injuries: - correct answer
✔✔Relief of s/s and Pain
Surgery
Radiation
Dexamethasone
Which of the following are early manifestations of spinal cord compression? Select
all that apply.
A) Back pain near tumor site, which increases in prone position
B) Bladder and bowel dysfunction
C) Radicular pain
D) Sensory deficits
E) Motor weakness - correct answer ✔✔Answer: A, B, and C. (D&E are late
manifestations of spinal cord compression)
What are the three most common types of tumors that metastasize to the
epidural space of the spine, creating spinal cord compression? - correct answer
✔✔Breast, lung, and prostate
After surgical correction of spinal cord compression, the nurse notes the dressing
drainage creates a "halo" appearance when dripped onto tissue. This drainage is