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WorksheetsNUR211 Perfusion, Collaboration, Intracranial Pressure, Seizures
Total questions: 121
Worksheet time: 1hrs 9mins
Which assessment data does the nusre recognize as the most sensitive indicator of increased ICP?
Pupillary
Respiratory
Level of Conciousness
Cranial Nerves
A patient with a history of seizures experiences lip smacking and daydreams during a seizure with no loss of conciousness. The nurse recognizes these clinical manifestations as associated with which type of seizure?
Absence seizure
complex partial seizure
Atonic seizure
Myoclonic seizure
What is used to diagnose a seizure disorder? select all that apply.
electroencephalogram
lumbar puncture
metabolic panel
coagulation studies
electromyogram
A patient with a history of complex partial seizures has a phenytoin (dilantin) level of 3.1mcg/mL. The nurse calls the patient and instructs them to take which action?
stop the medication and make an appt for the following week with MD
continue the med and make an appt right away with MD
take an extra dose now and continue with the current regimen
skip the next dose and make an appt right away with MD
A patient is scheduled for an emergency CT scan because of clinical manifestations of a CVA/stroke. The nurse recognizes which statement as true about the findings of the CT scan?
Thrombolytics are contraindicated if the scan identifies a bleed
Thrombolytics are indicated if the scan is positive for a bleed
Thrombolytics are contraindicated if the scan reveals an occlusion
Thrombolytics are indicated if the scan identifies an occlusion
A patient is admitted to the neuroscience intensive care unit after a TBI. If the goal of ICP monitor insertion is to measure ICP and drain CSF to control ICP, what device should the nurse anticipate being inserted?
Intraparenchymal sensor
Epidural sensor
Intraventricular catheter
Subarachnoid bolt
The nurse recognizes that which patient is at greatest risk for death secondary to stroke?
36 yr old caucasian male
45 yr old asian male
56 yr old african american female
62 year old hispanic female
A patient is admitted to a unit with a diagnosis of left middle cerebral artery acute ischemic stroke and is not eligible for thrombolytic therapy. The nurse recognizes that this patient is at high risk for which complication?
Delirium
Aspiration
Bronchospasm
Palpitations
What is a symptom of a stroke?
Hemiplegia of one body part
Aphasia of the face
Numbness of the hand
All of the above
What acronym can help you identify a stroke?
SLOW
FAST
STROKE
SLEEP
What are some common symptoms of a stroke?
Paralysis of one side of body, slurring speech, facial droop
Headache
Chest pain
Shortness of breath
What is a stroke?
Blocked blood vessel
Bleeding in the brain from a blood vessel
Loss of oxygen to part of the brain
All of the above
Which of these are risk factors for stroke?
High blood pressure
Age > 55 years
Low cholesterol
Family history of stroke
All of the above
Use FAST to recognise the signs of a stroke. F is For ..........
Face mask
Face drooping
Face injury
Use FAST to recognise the signs of a stroke. A is For ..........
Arm weakness
Arm injury
Arm fracture
Use FAST to recognise the signs of a stroke. S is For .........
Speechless
Stroke
Speech difficulty
Use FAST to recognise the signs of a stroke. T is For .........
Time
Tell someone to help you
None of the above
Describe the type of headache associated with a raised intracranial pressure?
Dull and generalised
Worse on lying down
Worse at the end of day
Unilateral
Which 2 of these can cause an increase in CSF and hence an increase in ICP
Subarachnoid haemorrhage
Cerebral oedema
Subdural haemorrhage
Hydrocephalus
What is Brain Herniation?
Parts of the brain being compressed by a increased ICP
Parts if the brain no longer receiving blood supply
Parts of the brain moving into different compartment
What is a Traumatic Brain Injury
An injury to the brain of a young child ages infant through 18 years old
An event that only happens to old folks who tend to fall
An injury to the brain caused by a bump, blow or jolt to the head or a penetrating head injury that disrupts the normal function of the brain
A nasty bump on the head
Who can get a TBI?
Only children who play rough.
Anyone at any age
Children ages infant-18 years old
Adults over 60 years old
What are some symptoms of a TBI?
Headache that gets worse or won't go away; Loss of coordination
Repeated vomiting or nausea; slurred speech
Enlargement of the pupil of one or both eyes
All of the above
A seizure is only caused by epilepsy
True
False
What best describes a seizure
a sudden attack that can cause spasms or convulsions.
a medical condition associated with abnormal electrical activity in the brain.
making short and sudden movements.
not reacting or moving because of being unconscious
Common causes of seizures include (Choose 3)
Head injury
Spinal injury
Lack of oxygen
Cardiac arrest
constipation
At what ages do febrile seizures occur?
6 months to 5 years
2months to 2years
1years to 7years
Neonatal period
Treating seizures include medication, diet, and vagus nerve stimulator.
True
False
Seizure which presents with flaccidity
Tonic
Clonic
Atonic
Myoclonic
Lumbar puncture is indicated for ALL patients younger than six months with fever and seizure
True
False
Seizure presenting as shock like contraction of muscle that is often repeated
Tonic
Clonic
Myoclonus
Absence
Which of the following is an example of aura?
Epigastric pain
Flashing lights
Deja vu feeling
Only flashing lights and deja vu
All of the above
Are Motor Seizures a form of Partial Epilepsy or Generalized Epilepsy
Generalized Epilepsy
Partial Epilepsy
What kind of disease is epilepsy?
Nonifectious
Infectious
What type of seizure has sustained rhymical jerking?
clonic
tonic
clonic-tonic
absence
What type of epilepsy makes people fall to the ground heavily?
Atonic
Clonic
Tonic
Myonic
What type of seizure causes stiffening and a tendency to fall backwards?
Clonic
Tonic
Myonic
Atonic
What type of epilepsy is a combination of rhythmic jerking and the stiffening of muscles?
Tonic
Clonic
Tonic-Clonic
Atonic
A previously healthy and developmentally normal 18-month-old boy presents with status epilepticus. There is no past or family history of seizures. The child is stabilized, and the seizure stopped . Subsequent physical examination reveals a playful child who has a temperature of 39.2ºC and nasal discharge. Findings on the remainder of the examination are normal. The MOST likely diagnosis is
Bacterial meningitis
Cortical dysplasia
Febrile seizure
Hypoglycemia
Weight gain and alopecia are side effects of the following antiepileptic drug (AED)
primidone
valproicacid
oxcarbazepine
lamotrigine
acetazolamide
Antiepileptic drug is discontinued when children are free of seizures for at least
1 yr
2 yr
3 yr
4 yr
Generally how many seizures does it take for someone to be diagnosed with epilepsy?
2
1
5
6
When someone has seizure what is the state called once they come out of it
Fight or Flight
In and Out State
Postictal
Hyper State
Generally how long does postictal state last
I hour
15 minutes
10-20 minutes
5-30 minutes
Select the correct objectives of therapeutic communication include:
medical terminology
assessing behavior
taking vitals
collecting information
educating
After being berated by your manager in front of your fellow employees, you say: "I can see some of your points, but I would have preferred that you spoke to me in private." This is an example of which of the following communication styles?
Passive
Agressive
assertive
Your teacher has not given you a grade for a paper you handed in, and you tell him or her, "I handed in that paper with everyone else. It's not my fault if you can't keep yourself organized," is an example of which of the following communication styles?
Agressive
Passive
Assertive
Do you try to push your feelings away rather than express them to others?
Passive
Assertive
Your neighbor accidentally knocked over your garbage can. You write an angry note calling him a 'selfish jerk' and leave it on his car. This is an example of which communication style?
Agressive
Assertive
Passive
You overhear someone at work saying something mean about you. You wait until she is alone, and then let her know that you were sad to hear her say such a thing. This is an example of which communication style?
Agressive
Passive
Assertive
Someone at work is making inappropriate jokes at your expense. You use " Passive Style"
Report them to Human Resources and demand they be punished.
Say nothing. You don’t want to make things worse.
Make inappropriate jokes at their expense.
You go out to dinner and after a very long wait, your food arrives cold. You use Agressive
Tell the waiter how incompetent you think he is and demand that the food be free.
Tell the waiter that this is unacceptable and ask what they can do to make things right.
Say nothing; you don’t want to risk having the waiter spit in your food!
Which people tend to not make eye contact?
Passive
Aggressive
Passive-Aggressive
Assertive
Which people tend to feel insecure or have low self-esteem ?
Passive
Aggressive
Passive-Aggressive
Assertive
Which people tend to be loud and in your face, blunt, or tactless?
Passive
Aggressive
Passive-Aggressive
Assertive
Which people tend to take care of themselves and their own rights only?
Passive
Aggressive
Passive-Aggressive
Assertive
Which people tend to have healthy self-esteem ?
Passive
Aggressive
Passive-Aggressive
Assertive
Which people tend to consider the rights of self and rights of others?
Passive
Aggressive
Passive-Aggressive
Assertive
Which people tend to be honest, tactful, and respectful?
Passive
Aggressive
Passive-Aggressive
Assertive
Which communication style is characterized by being loud, angry, and "in your face"?
Assertive
Passive
Aggressive
Passive aggresive
Which communication style is characterized by avoiding any confrontations at all cost?
Assertive
Passive
Aggressive
Passive aggresive
Which communication style is characterized by being direct while still showing respect?
Assertive
Passive
Aggressive
Passive aggresive
When a person gives another person _____________ during a conversation, it establishes a level of trust with that person by allowing people to know the speaker is sincere.
handshake
eye-contact
facial expressions
proximity
When people use ________________, they set the tone for the conversation and can provide feedback on the information being communicated. They can include a look of confusion, a smile or frown.
Gestures
Eye-Contact
Facial Expressions
Posture & Body Orientation
A person's ________________ can communicate many messages. The way a person walks, talks, stands, or sits creates communication.
posture and body orientation
gesture
facial expression
proximity
The effects of TBI may include: (there is more than one answer)
Learning disabilities
Information processing problems
Cognitive dysfunction
Visual impairment
All of the above
What is Traumatic Brain Injury (TBI)
Jolt or Blow to the head.
When objects penetrate the skull.
Brain cells damaged or affected by an accident.
ALL OF THE ABOVE
Who can get a TBI?
Only children who play rough.
Anyone at any age
Children ages infant-18 years old
Adults over 60 years old
What are some symptoms of a TBI?
Headache that gets worse or won't go away; Loss of coordination
Repeated vomiting or nausea; slurred speech
Enlargement of the pupil of one or both eyes
All of the above
Which is not a physical symptom of a Concussion
Headache
Blurred vision
Nausea/vomiting
Dizziness; lack of balance
Lack of smell
What type of injury is a concussion?
A injury to the limbic system
A mild to severe traumatic brain injury
A minor headache
A participant in a study of music perception listens to music with electrodes attached to her scalp while data are collected on the activity of her brain. This technique is called
electroencephalography (EEG)
computed tomography (CT)
positron-emission tomography (PET)
functional magnetic resonance imaging (fMRI)
magnetic resonance imaging (MRI)
Cancers are graded as ______________________
stage 1 & 2
small & big
benign & malignant
Which controls personality, short term memory, & speech
frontal lobe
parietal lobe
temporal lobe
occipital lobe
What do we call the linings in our brain that protect it from physical injuries?
nerves
linings
neurons
meninges
Which among the brain diseases is characterized by abnormal growth of tissue inside the brain?
MENINGITIS
BRAIN TUMOR
CONCUSSION
EPILEPSY
Decreased level of consciousness is a sign of
photophobia
increased intracranial pressure
parkinsons disease
paralysis
A dilated artery inside the brain that may rupture is called
a cerebral aneurysm
transient ischemic attack
hydrocephalus
glaucoma
Bleeding inside the skull, inflammation or a tumor could cause
increased intracranial pressure
postictal period
ganglion cyst
hyperfelxion
A stroke affecting the motor area of the left side of the brain will affect
movement on the same side of the body
movement on the opposite side of the body
decreased intracranial pressure
increased intracranial pressure
This medication is used as a short term anticoagulant:
Lasix
Humalog
Heparin
Amiodarone
This medication is frequently given to people with AFib or history of stroke to prevent another clot
Toradol
Xanax
Lisinopril
Eliquis
This medication is an antiepileptic. Also given for neuropathic pain.
Lorazepam
Zyloprim
Metformin
Gabapentin
This medication is given for heart rate control
Cardizem
Cortisol
Colace
Ceftriaxone
This medication should be held for a HR less than 60bpm or SBP less than 100mmHg ( or per doctors orders)
Metocloperamide
Atorvastatin
Rocephin
Metoprolol
Which medication is a Statin?
Lipitor
Lasix
Labetalol
Loratadine
All of the following are benzodiazepines EXCEPT:
Ativan
Xanax
Valium
Avapro
Which lab values should the nurse check prior to administration of Coumadin?
CBC, PT/INR
ABO type and screen
ALT, AST, Alkaline Phosphatase
Amylase and Lipase
antihypertensive
furosemide
zolpidem
gabapentin
lisinopril
anticonvulsant
gabapentin
lisinopril
acetaminophen
atorvastatin
anxiolytics (antianxiety)
ibuprofen
linsinopril
clonidine
lorazepam
A client is prescribed digoxin (Lanoxin) 1mg by mouth QID. The client states that the objects in his room have a yellowish tinge and he is nauseated. Select the most appropriate nursing action at this time.
Hold the medication and count the apical pulse before the next dose is to be given.
Count the apical pulse; if it is regular and above 60, administer the drug as ordered.
Administer the medication and observe the client for further nausea.
Hold the drug and call the health care provider
A client is prescribed lisinopril (Zestril). Which of the following is most important for the nurse to assess before administering this medication to the client?
Serum electrolytes.
Body temperature.
c.
Peripheral edema.
Breath sounds
diuretic
furosemide
atorvastatin
ciprofloxacin
gabapentin
antilipemic
ciprofloxacin
atorvastatin
gabapentin
acetaminophen
While the major adverse effect of heparin therapy is hemorrhage, another adverse effect involves blood pooling in the skin, which is called:
hematopoiesis
hemarthrosis
subdural hematoma
ecchymosis
The oral anticoagulant of choice is:
ticlopidine
ow-molecular-weight heparin
warfarin
standard heparin
Besides aspirin, the preferred antiplatelet agent is:
ticlopidine
abciximab
acetaminophen
clopidogrel
Antiplatelet agents may prevent arterial thrombosis, myocardial infarction, or:
stroke
kidney failure
hemorrhage
perfusion
Warfarin is an antagonist of vitamin:
B
C
K
A
Which of the following dissolve blood clots?
Hemolytics
Antiperfusion agents
Platelet aggregation inhibitors
Thrombolytics
Warfarin is popularly marketed as:
Ticlid
Plavix
Coumadin
Streptase
The trade name for clopidogrel is:
Ticlid
Plavix
Xarelto
ReoPro
What is the therapeutic class for Keppra
Anti-convulsant
Antifungal Agent
Insulin
Loop Diuretic
What is the generic name for Reglan
Metoclopramide
Eletripan
Budesonide
Pantoprazole
Frusemide belongs to .....
Loop diuretics
Carbonic anhydrase inhibitor
thiazide diuretics
Which of the following is an aldosterone antagonist?
Frusemide
Spironolactone
Mannitol
