You are taking care of patient Rekardo Miguel, who has been rushed to the Emergency room due to head injury. He was diagnosed with cerebellar disorder. Which of the following nursing diagnosis is based upon the assessment of this disorder?

Upon endorsement, you heard that patient Dominador Antonio is suspected to have increased intracranial pressure. Which of the following nursing intervention is related to the goal of establishing cerebral tissue perfusion?

Patient Bernardino Magnificanado came to the emergency room due to a concussion during a motor vehicle accident. On admission he is disoriented and restless. Which nursing diagnosis should receive the top priority in this client's plan of care?

Patient Sebastian Andrade who was diagnosed of cerebral edema due to head injury is receiving IV infusion of mannitol. to determine if this drug is producing its therapeutic effect, the nurse should consider which finding most significant?

Patient Charito Palonito is transferred to the intensive care unit after evacuation of a subdural hematoma. to reduce the risk of increasing intracranial preasure the nurse should?

You are assigned in the Intensive care unit and are taking care of patient Tikidoro Buhati. He suddenly has a generalized seizure. Which of the following should you do? Select all that apply

You are assigned in the Intensive care unit and are assigned to patient Giovani Nichichimoto who is diagnosed with paraplegia. You know that an early major problem of this client will be?

Patient Alfredo Dinatete is found unresponsive due to head injury. He has arterial blood gas drawn and the results indicated the following ; ph is 7.15, PCO2 is 85mmHg and HCO3 is 22 mEq/L. The nurse interprets the result as indicating which of the following

Nurse Frachesco Petichini reviews the arterial blood gas result of a patient with subdural hematoma. The nurse analyzes the result and determines that the client is experiencing respiratory acidosis. Which of the following validates the nurse's findings?

When interpreting the level of consciousness of patient Berto Yimamotoshi. glasgow coma scale was used. All of the following are parts of the assessment, except? SELECT ALL THAT APPLY

When assessing for patient Leonardino Gestavo, which of the following should you consider most appropriate in eliciting a desired response?

You are assigned in the ICU and caring for Orlanikarpio Wenanu, 23 years old who was admitted following a motor vvehicular accident. Clinical data obtained were BP of 80/50mmHg, HR-120, respirations 32, peripheral pulse slightly diminished, hematocrit 30%, pulse oximeter 94%, serum electrolytes normal. CT scan is positive for abdominal bleeding and weight is 60kg. Which of the following order should be initiated first?

Patient Vicky Zaboka is rust to the emergency room due to head injury. His condition worsened and developed respiratory arrest. What nursing intervention should you perform first?

To determine the level of consciousness, the Glasgow coma scale is used. Which of the following is a correct interpretation of the nurse of the GCS score?

Nurse Frediriko Achochibindo is mentaining the temperature within normal limits of a patient that had traumatic brain injury. This intervention is significant in preventing which of the following?

You are taking care of a patient head injury and with risk for increased ICP. All of the following interventions help control the intracranial pressure, Except?

You are eating in a restaurant and suddenly a toddler runs into a corner of a table and hits his head creating a scalp injury which is profusely bleeding. The mother is in panic, and as a nurse which of the following will be your first intervention?

A patient was admitted to the hospital for possible skull fracture. You know that which of the following diagnostic test would be done to assess for this type of patient?

You are assigned in the ICU and are taking care of a patient who is brain dead. Which of the following are cardinal signs of brain death? Select all that apply

Upon assessment of the neurologic functioning of patient Wenchutiko Ardemanito you noticed that he has unilaterally dilated and poorly responding pupil which indicates which of the following

You are taking care of a patient with loss of pain, temperature and motor function noted below the level of the lesion, light touch position and vibration sensation remains intact. You know that this patient is suffering form?

Characterized by an ipsilateral paralysis or paresis, together with ipsilateral loss of touch, pressure, and vibration and contralateral loss of pain and temperature?

You are a emergency team responder and you responded to an emergency where there is a vehicular accident. Upon assessing the patient. You will do rapid assessment of the patients neurological functions. Which of the following assessment is inappropriate?

You are assigned to a patient with traction with tongs and halo vest. Which of the following interventions is appropriate for this patients? Select all that apply

Patient Erik Esogun, an 18-year-old is admitted with a closed head injury sustained in a motor vehicular accident. His intracranial pressure (ICP) shows an upward trend. Which intervention should the nurse perform first?

A client with head trauma develops a urine output of 300 ml/hr, dry skin, and dry mucous membranes. Which of the following nursing interventions is the most appropriate to perform initially?

A client who had a transsphenoidal hypophysectomy should be watched carefully for hemorrhage, which may be shown by which of the following signs?

Patient Bart Huhunomoy comes into the ER after hitting his head in an MVA. He’s alert and oriented. Which of the following nursing interventions should be done first?

Patient Sean Claude Van was rushed to the hospital with a C6 spinal injury. He would most likely have which of the following symptoms?