Exam 16: Alterations in Cognitive Systems, Cerebral Hemodynamics, and Motor Function

A patient is admitted to the neurologic critical care unit with a severe closed head injury.When an intraventricular catheter is inserted, the intracranial pressure (ICP) is recorded at 24 mm Hg.How should the nurse interpret this reading?

A patient with an addiction to alcohol checked into a rehabilitation center as a result of experiencing delirium, inability to concentrate, and being easily distracted.What term would be used to document this state?

A nurse recalls that neural systems basic to cognitive functions include _____ systems.(Select all that apply.)

A 16 year old's level of arousal was altered after taking a recreational drug.Physical exam revealed a negative Babinski sign, equal and reactive pupils, and roving eye movements.Which of the following diagnoses will the nurse most likely see on the chart?

A 16-year-old male fell off the bed of a pickup truck and hit his forehead on the road.He now has resistance to passive movement that varies proportionally with the force applied.He is most likely suffering from:

The primary care provider states that the patient is experiencing vasogenic edema.The nurse realizes vasogenic edema is clinically important because:

A patient reports tiring easily, having difficulty rising from a sitting position, and the inability to stand on toes.The nurse would expect a diagnosis of:

The patient is experiencing an increase in intracranial pressure.This increase results in:

When thought content and arousal level are intact but a patient cannot communicate and is immobile, the patient is experiencing:

A patient has paralysis of both legs.What type of paralysis does the patient have?

The breathing pattern that reflects respirations based primarily on carbon dioxide (CO₂) levels in the blood is:

A 20 year old experiences a severe closed head injury as a result of a motor vehicle accident.Which of the following structures is most likely keeping the patient in a vegetative state (VS) 1 month after the accident?

A 70-year-old patient is being closely monitored in the neurologic critical care unit for a severe closed head injury.After 48 hours, signs of deterioration occur: pupils are small and sluggish, pulse pressure is widening, and heart rate is bradycardic.These clinical findings are evidence of what stage of intracranial hypertension?

An adult is diagnosed with communicating hydrocephalus.The form of hydrocephalus in adults is most often caused by:

A nurse notes that a patient walks with the leg extended and held stiff, causing a scraping over the floor surface.What type of gait is the patient experiencing?

A teenager sustains a severe closed head injury following an all-terrain vehicle (ATV) accident and is in a state of deep sleep that requires vigorous stimulation to elicit eye opening.How should the nurse document this in the chart?

A patient experiences a stroke and now has difficulty writing and producing language.This condition is most likely caused by occlusion of the:

A 40-year-old male complains of uncontrolled excessive movement and progressive dysfunction of intellectual and thought processes.He is experiencing movement problems that begin in the face and arms and eventually affect the entire body.The most likely diagnosis is:

A 65-year-old patient who recently suffered a cerebral vascular accident is now unable to recognize and identify objects by touch because of injury to the sensory cortex.How should the nurse document this finding?

The nurse is explaining clinical manifestations of alterations in the extrapyramidal system.The nurse would correctly include: (Select all that apply.)