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Intracranial Regulation

Authored by Cody Cottle

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University

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Intracranial Regulation
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41 questions

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1.

MULTIPLE SELECT QUESTION

45 sec • 1 pt

What are the most common causes of TBIs? (SATA)

MVA

Contact sports such as football

A minior fall

Shaken Baby Syndrome

2.

MULTIPLE SELECT QUESTION

45 sec • 1 pt

A patient has developed Chronic Traumatic Encephalopathy (CTE) . What would you expect to see in this patient?

A history of multiply TBIs

Early dementia

acute signs and symptoms

will have a progressive disease/ chronic condition

Answer explanation

Not everyone who has multiply TBIs develops CTE

3.

MULTIPLE CHOICE QUESTION

30 sec • 1 pt

A patient has arrived to the hostipal with a external scalp laceration, What is your pirorty intervention?

Assess the patients carinal nervers

Stop the bleeding

Check PERRLA

Assess LOC

Answer explanation

The scalp is highly vascualr- profuse bleeding

4.

MULTIPLE CHOICE QUESTION

30 sec • 1 pt

A patient sustained a diffuse axonal injury from a traumatic brain injury. What would the nurse explain to the family is the reason enteral nutrition is being started?

Free water should be avoided.

Sodium restrictions can be managed.

Dehydration can be better avoided with feedings.

Malnutrition promotes continued cerebral edema.

Answer explanation

A patient with diffuse axonal injury is unconscious and, with increased intracranial pressure, is in a hypermetabolic, hypercatabolic state that increases the need for energy to heal. Nutrition replacement should meet caloric needs by at least day 5 after injury. Malnutrition promotes continued cerebral edema. Fluid and electrolytes will be monitored to maintain balance with the enteral nutrition. Excess intravenous fluid administration will also increase cerebral edema

5.

MULTIPLE CHOICE QUESTION

30 sec • 1 pt

A patient with suspected bacterial meningitis just had a lumbar puncture in which cerebrospinal fluid was obtained for culture. Which medication would the nurse give first?

Codeine

Phenytoin

Ceftriaxone

Acetaminophen

Answer explanation

Bacterial meningitis is a medical emergency. When meningitis is suspected, antibiotic therapy (e.g., ceftriaxone) is started immediately after the collection of specimens for cultures and even before the diagnosis is confirmed. Dexamethasone may be given before or with the first dose of antibiotics. The nurse should collaborate with the health care provider to manage the headache (with codeine), fever (with acetaminophen), and seizures (with phenytoin)

6.

MULTIPLE SELECT QUESTION

45 sec • 1 pt

What manifestations are associated with basilar skull fractures? (SATA)

Battles Signs

Periorbital brusing

Cranial nerve deficits

7.

MULTIPLE CHOICE QUESTION

30 sec • 1 pt

Why is CSF leackage very dangerous?

The blood brain barrier is broken, so toxins can get to the brain causing infection and inflamation that can not be treated by antibiotics.

There is no problems with CSF leackage

A decrease in blood pressure

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