SCRN Acute Care Exam with Questions and Answers

SCRN Acute Care Exam with Questions and Answers 1. Patients with subarachnoid hemorrhage (SAH) should be monitored for which common complications of hemorrhagic stroke? Select all that are correct A. Hyperactivity B. Hydrocephalus C. Cerebral vasospasm D. Seizure activity ANSWER 1. B, C, D Hydrocephalus develops when the blood clots over the arachnoid villi, blocking flow of cerebrospinal fluid; vasospasm develops because the blood is irritating the outer layer of the arteries causing them to spasm; and seizure activity is the result of the irritation of the blood on the surrounding tissue-think of it as a short circuit of the brain's electrical system. 2. Your patient just returned from having endovascular embolization of an arteriovenous malformation (AVM). Your nursing care for the next hour will include which of the following? A. Vital signs and neurologic checks q 15 minutes along with groin site checks B. Vital signs and neurologic checks q 15 minutes along with scalp incision checks C. Therapeutic hypothermia with goal of 35°C D. Education about the procedure and possible complications ANSWER 2. A Endovascular embolization is done via an arterial approach, not transcranial, so groin checks would be done along with the every 15 minutes vitals and neurologic checks. 3. Why is constipation prevented in the intensive care unit (ICU)?