sample questions Flashcards
what is the most appropriate nursing intervention to manage pt’s O2 sat when GCS drops below 8?
- administer bronchodilator
- reposition to semi-fowler
- increase flow rate on NRM
- prep for ETT
prep for ETT
what is the best nsg intervention to prevent aspiration for pt on NBM?
- position in trendelenburg positn
- insert NGT to decompress stomach
- provide thickened liquids orally
- suction q4h
insert NGT to decompress stomach
- suctioning should only be done PRN for haem stroke, stimulates vagal nerve & increases ICP
which is the most critical nursing assessment immediately after fossa decompression craniotomy & evacuation of hernia?
- monitor BG
- check for signs of infection
- assess LOC & neuro status
- monitor urine output
assess LOC and neuro status
which is the most appropriate nursing action to address hyperglycemia in SICU?
- administer IV insulin bolus
- start on IV insulin infusion
- give oral antidiabetic meds
- monitor BG q8h
start on IV insulin infusion
- IV insulin bolus only given by dr
what is the priority nursing action when pt’s ABG results show pH of 7.12, PaO2 67.5, PaCO2 47.2
- administer sodium bicarb
- increase ventilator respi rate
- reduce tidal volume
- provide reassurance
increase ventilator respi rate
- tidal volume: amount of air moving in/out lungs in each cycle
immediate nsg action post insertion of EVD
- ensure system is level with tragus
- flush to prevent blockage
- position in flat supine position
- monitor for infection
ensure system is level with tragus
absence of doll’s eye movement in comatose patient indicates a lesion in:
- brain stem
- cerebral cortex
- basal ganglia
- optic nerve
brain stem
GCS is useful for the following situations except:
- diagnosis of the type of head injury
- initial assessment of severity of head injury
- monitoring the progression of a patient’s condition
- prognosticating the patient
prognosticating the patient
an elderly man is noted to have fluctuating consciousness level and personality changes. what kind of haemorrhage might he have
- chronic subdural
- subarachnoid
- acute subdural
- extradural
a patient is brought to ED in a state of unconsciousness. which of the following signals base of skull fracture?
- battles sign
- gcs <8
- dolls eye movement
- absent puilary reflex
battles sign
cardinal features of parkinsonism do not include:
- rest tremors
- postural instability
- rigidity
- bradykinesia
postural instability
which condition can induce seizures in a patient
- guillain barre syndrome
- migrane
- multiple sclerosis
- meningitis
meningitis
which of the following is false about PD management
- goal: neuroprotection, neurorestoration, symptomatic treatment
- oral meds may not be necessary in early symptomatic disease without complications
- MOA of COMT inhibitors, levodopa, dopamine agonists all lead to increase available dopamine in synapse
- levodopa: efficacious for PD but may lead to increased motor fluctuations & dyskinesia
MOA of comt-i, levodopa & dopamine agonists all lead to increased available dopamine in synapse
immediate post-op complication to monitor for after EVD insertion is:
- bleeding
- aspiration pneumonia
- infection
- increased cerebral pressure
bleeding
patient with SAH complains of thunderlap headache. what is the pathophysio?
- traction through brain sagging on dural attachment; intracranial vasodilation
- increased sensitivity of pain-mediating systems in brain
- inflammation of vessels in meninges & or perivascular dura
- neurally induced inflammation & oedema of internal carotid artery
inflammation of vessels in meninges & perivascular dura
