Neurology and Intracranial Pressure Assessment
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Questions and Answers

What immediate action should be taken if a patient experiences severe headache after fibrinolytic therapy?

  • Continue the infusion and monitor the patient.
  • Increase the rate of the infusion to alleviate symptoms.
  • Administer pain relief medication before evaluating further.
  • Discontinue the infusion and notify the primary health care provider. (correct)

Which of the following is a first sign indicating increased intracranial pressure (ICP)?

  • Severe headache
  • Swelling at neck incision site
  • Change in level of consciousness (LOC) (correct)
  • New-onset confusion

What is the normal range for intracranial pressure (ICP)?

  • 15-20 mm/Hg
  • 20-25 mm/Hg
  • 5-10 mm/Hg
  • 10-15 mm/Hg (correct)

When is intra-arterial thrombolysis considered most effective?

<p>Within 6 hours of stroke onset. (D)</p> Signup and view all the answers

What should be closely monitored after carotid stent placement?

<p>Presence of muscle weakness or motor dysfunction. (C)</p> Signup and view all the answers

What therapy places fibrinolytic agents directly onto the thrombus?

<p>Endovascular therapy. (D)</p> Signup and view all the answers

Which of the following symptoms does NOT typically indicate increased intracranial pressure?

<p>Normal respiratory rate (C)</p> Signup and view all the answers

What is a common manifestation of brain cells experiencing decreased oxygenation?

<p>Weakness in one extremity or side of the body. (A)</p> Signup and view all the answers

What is the primary reason for choosing a CT scan over an MRI for brain imaging in a patient with a closed head injury?

<p>CT scans are faster and provide a quick picture of the brain. (A)</p> Signup and view all the answers

Which of the following findings would indicate a high risk of increased intracranial pressure (ICP) in a patient recovering from head trauma?

<p>Eyes that move in the opposite direction when turned. (B)</p> Signup and view all the answers

Which symptom is NOT a priority assessment finding in a patient recovering from a head trauma?

<p>Lethargy without any other symptoms. (D)</p> Signup and view all the answers

What is the normal range for intracranial pressure (ICP)?

<p>5 - 15 mmHg (A)</p> Signup and view all the answers

In case of a patient reporting a headache and emesis after head trauma, which action should be avoided?

<p>Conducting a lumbar puncture (spinal tap). (B)</p> Signup and view all the answers

What is a critical intervention for a client found on the floor after a head trauma?

<p>Immediate cervical spine immobilization. (D)</p> Signup and view all the answers

Which of the following is a potential complication associated with high intracranial pressure?

<p>Diminished level of alertness. (C)</p> Signup and view all the answers

What is the primary concern when monitoring a patient recovering from a head injury?

<p>Identifying potential signs of infection. (A)</p> Signup and view all the answers

What is the first priority during a seizure after ensuring airway and breathing are secure?

<p>Stop the seizure (A)</p> Signup and view all the answers

Which medication is considered the #1 drug for stopping a seizure?

<p>Lorazepam (A)</p> Signup and view all the answers

What should be avoided in a patient prior to an EEG test?

<p>Stimulants like caffeine (A)</p> Signup and view all the answers

During a seizure, what is the appropriate position for the patient?

<p>On the side (C)</p> Signup and view all the answers

Which of the following should NOT be done during a seizure?

<p>Hold the patient's arms down (C)</p> Signup and view all the answers

What is a key consideration after seizure activity has stopped?

<p>Calculate the duration of the seizure (D)</p> Signup and view all the answers

Which statement about palliative care is accurate?

<p>It provides comfort for terminally ill patients. (D)</p> Signup and view all the answers

Patients in hospice care typically receive which type of treatment focused on comfort?

<p>Palliative care (B)</p> Signup and view all the answers

What is the primary characteristic of malignant brain tumors?

<p>They are very invasive and difficult to remove. (B)</p> Signup and view all the answers

Which of the following symptoms is NOT associated with increased intracranial pressure (ICP)?

<p>Dizziness (C)</p> Signup and view all the answers

What is the recommended route of administration for Mannitol?

<p>Intravenous (C)</p> Signup and view all the answers

One of the indications for using Mannitol is to decrease which of the following?

<p>Cerebral edema resulting in increased ICP (B)</p> Signup and view all the answers

Which of the following factors is NOT known to predispose adults to primary malignant brain tumors?

<p>Prenatal exposure to carcinogens (D)</p> Signup and view all the answers

How often should the level of consciousness (LOC) be assessed after administering Mannitol?

<p>Every hour (B)</p> Signup and view all the answers

What is one common side effect of Mannitol?

<p>Edema (A)</p> Signup and view all the answers

How long does it typically take for Mannitol to begin affecting intracranial pressure?

<p>30-60 minutes (D)</p> Signup and view all the answers

What is the purpose of instructing a patient on a ventilator to exhale when turning or moving in bed?

<p>To help maintain stable intrathoracic pressure. (B)</p> Signup and view all the answers

Which intervention should be avoided in a patient with increased intracranial pressure (ICP)?

<p>Holding the breath. (D)</p> Signup and view all the answers

What effect does hyperventilation have on carbon dioxide levels in the body?

<p>It decreases carbon dioxide by blowing it out. (D)</p> Signup and view all the answers

Which position is recommended for a patient with increased ICP?

<p>Semi-Fowler’s position. (D)</p> Signup and view all the answers

What is a key consideration when suctioning a patient with increased ICP?

<p>Use 100% O₂ before suctioning. (D)</p> Signup and view all the answers

What is the recommended duration for suctioning a patient on ventilation?

<p>No longer than 10 seconds. (C)</p> Signup and view all the answers

What should be avoided to prevent changes in ICP during patient care?

<p>Flexion of hips. (C)</p> Signup and view all the answers

Which substance should not be allowed during a valsalva maneuver for a patient with increased ICP?

<p>Carbon dioxide. (D)</p> Signup and view all the answers

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