Intracranial Regulation

Intracranial Regulation Review

​Stroke

Open Ended

What symptoms was he having that indicated he was having a stroke?

Multiple Choice

What is the purpose of obtaining a CT upon arrival to the ED?

• To determine if the stroke is hemorrhagic

• To determine if the pt has a brain tumor causing the symptoms

• To quickly assess and diagnose potential life-threatening conditions
• To assess the client's ICP

Multiple Choice

Upon arrival to the ED, which test would the RN expect the client to undergo to determine the type of stroke?

• CT scan
• Blood test
• MRI scan
• Ultrasound imaging

Multiple Choice

It has been determined he is having an ischemic stroke. Which finding would cause the most concern?

• BP 210/100

• HR 154

• RR 22

• Temp 99.6

Multiple Select

Which treatment(s) would the nurse expect the client could possibly undergo?

• TPA

• Craniotomy

• Thrombectomy

• Place on a heparin drip and monitor

• ICP drain implantation

Multiple Choice

If he had a hemorrhagic stroke, which finding would be the most concerning?

• BP 220/100

• HR 154

• RR 22

• Temp 99.6

Multiple Choice

Which medication can be used to help prevent vasospasms that are caused by a hemorrhagic stroke?

• Labetelol

• Hydralazine

• Nimotop

• Diltiazem

Open Ended

Name a safety concern you would have for your stroke patient while he is in the hospital.

Seizures

Multiple Choice

When you find someone having a seizure, what is YOUR priority?

• Time the seizure

• Suction airway

• Call for help

• Safety

Multiple Choice

In the phase during the active seizure, which medication would the nurse expect to administer?

• ceftriaxone

• hydralazine

• lorazepam

• sertraline

Multiple Choice

Which test is used to DIAGNOSE a seizure?

• CT

• MRI

• EKG

• EEG

Open Ended

Which items should be at the bedside for a client who has either been admitted for seizures or has a hx of seizures?

Multiple Choice

You are caring for John who was admitted for r/o meningitis. Which symptoms would you expect him to have?

• Back pain, cough, rash, joint pain
• Nausea, vomiting, diarrhea, abdominal pain
• Shortness of breath, chest pain, palpitations, dizziness
• Fever, headache, neck stiffness, confusion, sensitivity to light, seizures

Multiple Choice

Which test is diagnostic for meningitis?

• Lumbar puncture
• MRI
• serum CSF

• CT scan

Multiple Choice

A pt has undergone a LP, which finding would be the MOST concerning?

• mild Headache

• vomiting

• change in LOC

• tachycardia

Parkinson's Disease

Multiple Choice

How is Parkinson's diagnosed?

• CT

• Based off of symptoms

• Positive ANA

• MRI

Multiple Choice

What is missing in a client who has Parkinson's?

• Serotonin
• Acetylcholine
• Glutamate
• Dopamine

Multiple Choice

What medication is used to treat Parkinson's Disease?

• Levodopa
• Penicillin
• Aspirin
• Ibuprofen

Open Ended

Name some safety concerns for the house that should be addressed for someone who has Parkinson's.

Multiple Sclerosis

Open Ended

What symptoms in Rachel's story, did she talk about that is concerning for multiple sclerosis?

Multiple Choice

How is the diagnosis made for a client who has Multiple Sclerosis?

• X-rays, CT scans, physical examination
• Medical history, neurological exams, MRI scans, lumbar puncture, and blood tests
• Genetic testing, urine analysis, vision test
• Psychological evaluation, electrocardiogram, skin biopsy

Open Ended

Why are beta-interferons and immunosuppressants used in clients who have MS?

​Putting it all together

Review

Word Cloud

Reviewing all 5 of these exemplars (in 1-2 words) what are some priority nursing concerns?

Open Ended

How are these 5 exemplars similar?

Open Ended

Based on the Respiratory system....What are important interventions that would need to be provided for these patients?

Open Ended

Based on the GI/GU system...what are some important interventions/teaching that would need to be provided?