Test 2 review questions from lecture Flashcards
The gcs assesses?
arousal
decorticate motor response indicates
cerebral hemispheric dysfunction
Pupils are bilaterally pinpoint andn nonreactive to light. What does this indicate?
severe herniation
in cases of brain stem injury dolls eye movement will remain
fixed at the midpoint position
rhythmic waxing and wayning followed by period of apnea
cheyne stokes
elevated wave form on monitor that is clinically significant
a wave
During administration of t-PA the nurse should perform neurovascular checks?
- Every 15 minutes
- Every hour
- Every 4 hours
- Every shift
Every 15 minutes
during assessment the pt. asks if something is burning. Nurse realizes the pt. is demonstrating?
a focal seizure
preparing to administer med to pt. to reduce cerebral edema caused by a brain tumor. Med is most likely?
glucocorticoid med (mannitoL)
plan of care after posterior fossa surgery?
assess vital signs every 15 minutes
a pt. after craniotomy and has a headache, hob elevated, damp mark on pt. pillow. Nurse should?
alert physician, check for glucose in drainage
pt with intracerebral hemmorrhage. What is most common cause?
HTN
major management goals in caring for the donor patient include
maintain stable hemodynamic status, fluid and electrolute balance, optimal oxygenation
general guidelines in determination of organ transplant include?
- Children have priority over adults
- Body habitus
- Blood group
- Human leukocyte antigens (HLA) match
- High panel reactive antibody (PRA) score: highly sensitized recipients
pt is considered apneic if paco2 is
greater than 60, or greater than 20 rise above the baseline