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WorksheetsGSL_EVD
Total questions: 15
Worksheet time: 8mins
What is the most common complication associated with external ventricular drainage?
Infection
Bleeding
CSF overdrainage
Obstruction
A patient with an EVD is being monitored for potential complications, including the development of subdural hematoma. The nurse recognizes that this complication is most likely to occur in which of the following patient populations?
Patients with a history of hypertension
Patients with a history of head trauma
Patients with a history of diabetes mellitus
Patients with a history of seizure disorder
Which of the following positions is recommended for patients with EVD?
Flat on their back
Standing upright
Head elevated at 30-45 degrees
Head turned to the side
Which of the following is a potential complication of external ventricular drainage that can occur due to overdrainage of cerebrospinal fluid?
Subdural hematoma
Intracranial hemorrhage
Rebound intracranial hypertension
Meningitis
Which of the following interventions is recommended for managing elevated intracranial pressure in a patient with external ventricular drainage?
Increasing the EVD drainage rate
Administration of high-flow oxygen
Providing sedation and analgesia
Administration of hypertonic saline
Which of the following steps should be taken before removing an external ventricular drainage catheter?
CT scan to confirm that intracranial pressure has normalized
Assessment of the patient's ability to swallow and speak
Administration of prophylactic antibiotics
All of the above
Which of the following complications of external ventricular drainage requires emergent intervention?
Fever and leukocytosis
CSF leak at the catheter site
Clogging of the drainage system
Rapid decrease in intracranial pressure
Which of the following symptoms may indicate that an external ventricular drainage catheter has migrated out of position?
Nausea and vomiting
Persistent headache
Altered mental status
All the above
Which of the following actions should be taken if there is a sudden decrease in cerebrospinal fluid drainage from an external ventricular drainage system?
Increase the drainage rate of the EVD
Assess the patient's neurological status
Administer intravenous fluids
Initiate prophylactic antibiotics
Which of the following is a potential complication of external ventricular drainage that can occur due to underdrainage of cerebrospinal fluid?
Cerebral infarction
Brain edema
Intracranial hemorrhage
Hydrocephalus
Which of the following nursing assessments is most important for monitoring a patient with external ventricular drainage?
Assessment of urine output
Assessment of bowel sounds
Assessment of cranial nerve function
Assessment of peripheral pulses
A patient with an external ventricular drain (EVD) experiences a sudden decrease in level of consciousness, and the nurse notes that the EVD output has decreased. The nurse recognizes that these findings may be indicative of which of the following complications?
Infection
Hemorrhage
Obstruction
Pneumocephalus
A patient with an EVD is being monitored for potential complications, including the development of infection. The nurse recognizes that which of the following interventions is most effective in preventing infection?
Using sterile technique during dressing changes
Administering prophylactic antibiotics
Limiting visitors to the patient's room
Placing the EVD in the dependent position
A patient with an EVD has a fever, elevated white blood cell count, and cloudy cerebrospinal fluid (CSF) drainage. Which of the following actions should the nurse take first?
Administer broad-spectrum antibiotics
Collect a CSF culture
Increase the EVD drainage rate
Check the EVD placement
A patient with an EVD is receiving intracranial pressure monitoring. The nurse notes that the patient's ICP readings are consistently high, despite interventions to manage ICP. Which of the following actions should the nurse take first?
Administer an osmotic diuretic
Assess the EVD drainage rate and patency
Place the patient in a Trendelenburg position
Increase the patient's sedation level
