Deck 32: Neurological Management - New

Question 1

Regular sedation interruption is recommended for mechanically ventilated neurologic clients in order to:

A)Assist with brain death determination.
B)Allow neurologic status assessment.
C)Determine need for continued ventilatory support.
D)Assess client's pain level.

Answer 1

Allow neurologic status assessment.

Question 2

A positive apnea test determining brain death is based on:

A)PO₂ ?80% while receiving 100% oxygen per ventilator.
B)PCO₂ of 60 while receiving 100% oxygen per ventilator.
C)Lack of effort to breath after discontinuation of mechanical ventilation
D)Lack of cough reflex response to tracheal irritation.

Answer 2

Lack of effort to breath after discontinuation of mechanical ventilation

Question 3

Craniotomy necessitates cutting of scalp hair.For which of the following clients should special consideration be explored preoperatively?

A)African American.
B)Mexican American.
C)American Indian.
D)Eastern Indian.

Answer 3

American Indian.

Question 4

Pressure on the thalamus results in _____________posturing.

Question 5

The outstanding difference in presentation of metabolic and intracranial causes of coma is ____________________________________.

Question 6

Which of the following is an indicator of possible hypothalamic dysfunction?

A)Decorticate posturing.
B)Altered body temperature.
C)Olfactory hallucinations.
D)Apneustic breathing.

Question 7

Three criteria are used to determine brain death.These include absence of:

A)Deep tendon reflexes.
B)Brainstem reflexes.
C)Ventilator triggering.
D)Pulse and blood pressure.

Question 8

The Four Score Coma Scale differs from the Glasgow Coma Scale in that

A)It is based on serum analysis.
B)It includes brainstem reflexes.
C)It includes motor response.
D)It does not require a verbal response.

Question 9

Describe the behaviors and significance of abnormal flexor and extensor posturing.

Question 10

Explain why the use of labels such as "lethargic" or "confused" are insufficient when describing the neurologic client's status.

Question 11

Most cases of coma are due to what type of disorders?

Question 12

The reticular activating system controls

A)Orientation.
B)Wakefulness.
C)Balance.
D)Motor function.

Question 13

Cerebral perfusion pressure (CPP)is determined by the following calculation:____________.

Question 14

One of the earliest vital sign changes that occurs with increased intracranial pressure is

A)Cheyne-Stokes breathing.
B)Bradycardia.
C)Widened pulse pressure.
D)Hyperthermia.

Question 15

The conscious state requires an interaction between ___________ and ___________ areas of the brain.

Question 16

Explain why the most sensitive indicator of increasing intracranial pressure is a change in "level of consciousness".

Question 17

Identify two types of clients who may be misdiagnosed as comatose using the Glasgow Coma Scale.

Question 18

Which of the following are intracranial pressure waveforms indicating loss of intracerebral compliance?

A)P1 greater than other waveforms.
B)P2 greater than other waveforms .
C)P1 equal to P2 waveforms.
D)P3 greater than P1and P2 waveforms.

Question 19

The "Doll's eye reflex" is performed to test interactive integrity of the

A)Pons and medulla.
B)Cerebral cortex and brainstem.
C)Midbrain and medulla.
D)Pons and Midbrain.