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.</p> Signup and view all the answers

    What should be closely monitored after carotid stent placement?

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

    What therapy places fibrinolytic agents directly onto the thrombus?

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

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

    <p>Normal respiratory rate</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.</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.</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.</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.</p> Signup and view all the answers

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

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

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

    <p>Lorazepam</p> Signup and view all the answers

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

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

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

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

    What is a key consideration after seizure activity has stopped?

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

    Which statement about palliative care is accurate?

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

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

    <p>Palliative care</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.</p> Signup and view all the answers

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

    <p>Dizziness</p> Signup and view all the answers

    What is the recommended route of administration for Mannitol?

    <p>Intravenous</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</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</p> Signup and view all the answers

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

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

    What is one common side effect of Mannitol?

    <p>Edema</p> Signup and view all the answers

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

    <p>30-60 minutes</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.</p> Signup and view all the answers

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

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

    Which position is recommended for a patient with increased ICP?

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

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

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

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

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

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