Final Exam: NR574/ NR 574 (2023/2024 New
Update) Acute Care Practicum Review |
Week 5-8 | Questions and Verified Answers|
100% Correct- Chamberlain
... [Show More]
QUESTION
TBI (traumatic brain injury) clinical findings
Answer:
headache dizziness
fatigue memory loss confusion
difficulty concentrating nausea and/or vomiting drowsiness, stupor, coma
blurred or double vision seizure
coma
irregular or dilated pupils cranial nerve palsy speech impairment
motor weakness or paralysis
QUESTION
Types of Traumatic Brain Injury
Answer:
-Traumatic: damage acquired from an exter- nal force
-Non-traumatic
-Congenital: damage or malformation in the brain that occurs before birth
QUESTION
Causes of Traumatic Brain Injury
Answer:
falls assaults
sports injuries
motor vehicle accidents
abuse (shaken baby syndrome, domestic violence)
gunshot wounds workplace injuries
QUESTION
causes of TBI, nontraumatic
Answer:
stroke (embolic, hemorrhagic, ischemic)
meningitis encephalitis seizure electrical shock tumors
metabolic disorders hypoxia
neurotoxic substances
QUESTION
causes of congenital TBI
Answer:
cerebral palsy anencephaly
encephalocele
Chiari malformations congenital hydrocephalus microcephaly
QUESTION
Cushing's triad
Answer:
three classic signs—bradycardia, hypertension, and bradyp- nea—seen with pressure on the
medulla as a result of brain stem herniation
QUESTION
objective findings of intracranial HTN
Answer:
-changes in the level of consciousness
-Cushing's triad (suggestive of brainstem compression)
bradycardia hypertension
altered respiratory pattern
-headache (continuous that worsens in the morning)
-seizures
-changes in speech
-papilledema or pupillary changes
-oculomotor palsies
-decreased motor function
decerebrate (extensor) posturing indicates more serious damage decorticate(flexor) posturing
projectile vomiting (not preceded by nausea)
QUESTION
Decorticate posturing
Answer:
-"flexor posturing" or "mummy baby" (thi
mummy preservation)
-adduction of arms (arms fold to chest); flexion of elbows and wrists
QUESTION
Decerebrate posturing
Answer:
-"extensor posturing";
-abduction of arms, elbow and wrist extension
QUESTION
A concussion is considered a .
Answer:
mild traumatic brain injury (MTBI)
QUESTION
deciding factor for TBI intubation (clinical pearl)
Answer:
Clinical Tip: Remember
"less than 8, intubate!" when evaluating a client with TBI.
QUESTION
Most concussions result in a loss of consciousness. True
False
Answer:
False
Rationale: The answer is false. Clients may report brief loss of consciousness follow- ing the
incident but typically awaken spontaneously within a few minutes. Of note, more than 90% of
clients diagnosed with a concussion do not lose consciousness at the time of injury.
QUESTION
Nigel is brought to the emergency department by EMS. He was ridin [Show Less]