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Coordinating Care for Critically ill Patients with Neurological Dysfunction Quiz

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Coordinating Care for Critically ill Patients with Neurological Dysfunction Quiz

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Questions and Answers

What is the normal range for intra-cranial pressure (ICP)?

15 - 25 mm Hg

5 - 15 mm Hg (correct)

0 - 10 mm Hg

10 - 20 mm Hg

According to Monro-Kellie hypothesis, what happens when there is an increase in one of the components of the skull (brain tissue, blood, CSF)?

It causes a reduction in the volume of the other components

It increases the volume of the other components

It causes a shift in the volume of the other components (correct)

It does not affect the volume of the other components

What are the late signs of increased intra-cranial pressure (ICP) leading to cerebral herniation?

Unilateral fixed dilated pupil and bradycardia

Irregular respiratory pattern and Cushing’s triad (correct)

Abnormal posture response to stimuli

Increased sbp and decreased dbp

What is a characteristic symptom of Decorticate Posturing?

Abnormal flexor movement of upper extremities (C) Signup and view all the answers

What does increased intra-cranial pressure (ICP) decrease, leading to ischemia and cell death?

Cerebral perfusion (A) Signup and view all the answers

According to the Monro-Kellie hypothesis, how is a normal ICP of 5 to 15 mm Hg maintained with an increase in one of the components of the skull?

By displacing or shifting cerebrospinal fluid (CSF) (D) Signup and view all the answers

What is the early manifestation of increased intracranial pressure (ICP) related to changes in level of consciousness (LOC)?

Restlessness and purposeless movements (D) Signup and view all the answers

What late manifestations are associated with increased ICP?

Hemiplegia, decortication, or decerebration (A) Signup and view all the answers

Which assessment tool is used to evaluate mental status and LOC in a patient with increased ICP?

Glasgow Coma Scale (GCS) (C) Signup and view all the answers

What is a potential complication associated with increased ICP?

Neurogenic Diabetes insipidus (D) Signup and view all the answers

What is a major goal in the management of increased ICP?

Maintenance of patent airway (D) Signup and view all the answers

Which nursing intervention is recommended for a patient with increased ICP to promote venous drainage?

Position with head in neutral position and elevation of HOB 45 - 60 degrees (B) Signup and view all the answers

What should be monitored frequently in a patient with increased ICP to maintain fluid balance?

Fluid status carefully; every hour I&O during acute phase (A) Signup and view all the answers