Neuro - Hollywood Squares Flashcards
the primary reason for surgical repair of myelomeningocele is
can develop tethered cord syndrome - prevents further neurological dysfunction
parents of a 2 yr old w/CP notices child doesn’t sit alone; asks nurse if child will be able to walk alone or with crutches
child will most likely not be able to walk alone or with crutches
In giving d/c instructions to parent of child who suffered a head injury what should be included
regardless of time - wake up every few hours to ensure they are arousable
what is the most sensitive indicator to concussion or head injury?
LOC - level of consciousness
best indicator of brain function in a child with a moderate brain injury
LOC - level of consciousness
Are vital signs an important indicator of brain function in a child with moderate brain injury?
can be important; show s/s of increased cranial pressure (ICP) (widening pulse pressure - systolic goes higher, diastolic goes lower)
early clinical sign of ICP (increased intracranial pressure) in an older child
diplopia (double vision) decreased level of consciousness headache vomiting lethargy
post-op for placement of INITIAL shunt the nurse should place the child in which position
flat - on un-operative side so as not to depress shunt
on subsequent shunts for hydrocephaly can we elevated head of bed
yes
nurse evaluates a child w/meningitis for a + brudzinski sign which would indicate
meningeal irritation
what is a brudzinski sign
child lays flat, nurses raise the head, child draws leg up
nurse priority when parent first meet infant with open spinal defect
promote bonding - focus on healthy aspects of infant
healthcare provider orders mannitol for a child with a head injury; best indicator mannitol has been effective is
reduce cerebral swelling
what is mannitol
osmotic diuretic
