Boone's Exam 2

A nurse is caring for a patient with an increase in ICP after a MVC. The nurse keeps the head of the bed elevated, keeps the lighting in the room low, keeps the door to the room shut, and turns the TV off in the room. The nurse understands that the reasoning behind this would be what?

• Keep the electric bill of the hospital down.

• Provide a safe environment for the patient.

• Decrease stimulation for the patient.

• This clusters care for the patient.

Neurologic assessment using a standardized numeric scale

• MRI

• Glascow Coma Scale

• SAD PERSONS Scale

• Electroencephalogram

Which Pharmacotherapy would be most appropriate for a patient with cerebral edema

• insulin

• MAO inhibitors

• antianxlytic

• osmotic diuretic

what would you suspect would be the problem with a patient who has sudden vomiting without nausea

• epilepsy

• increased cranial pressure

• hypertension

• cardiovascular ischemia

which is not a sign included in cushing's triad

• tachycardia

• changes in respiratory pattern

• bradycardia

• hypertension

which position is recommened for a patient with ICP

• trendelenburgs

• reverse trendelenburgs

• head of bed at 30 degrees

• prone

What should you teach the patient when it comes to bowel management to lower ICP?

• Tell them to push hard

• Tell them to stay constipated

• Do not strain if become constipated

disease that results from the healthy liver tissue tissue being replaced with scar tissue

• athrosclerosis

• asthma

• cirrhosis

• psoriasis

A client being take care of in the ICU after a subdural hematoma has a blood pressure: 190/110, HR: 70, RR: 20 on a vent, and O2 sat.: 99% at 1000. During the 1100 assessment the vitals read at a blood pressure 200/100, HR: 58, RR: 20 on a vent, and O2 sat.: 99%. The nurse recognizes that this is a sign of what?

• A decrease in ICP.

• The patient is having a stroke.

• The brain is compensating for an increase in ICP.

• Imminent Death

Which of the following is a possible indication of head injury?

• difficulty staying awake

• loss of sensation in the hands

• paralysis in some part of the body