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Time
time to call for ambulance immediately
What breathing pattern has cycles of hyperventilation and apnea?
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Cheyne-Stokes
What are the side effects of giving mannitol?
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blood pressure changes, increased intravascular fluid volume watch for
signs of FVO/FVD
What is the method of action for barbiturates?
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CNS depressant, induced coma to decrease metabolic demands
What type of stroke results from inadequate blood flow to the brain from partial or
complete occlusion (Clot) of an artery?
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Ischemic
What does the S in BEFAST stand for?
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Speech
speech difficulty
,A nurse is caring for a client who experienced a traumatic head injury and has an
intraventricular catheter (ventriculostomy) for ICP monitoring. The nurse should
monitor the client for which of the following complications related to the
ventriculostomy?
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Infection
What is flexion of the knees and hips occurring with deliberate flexion of the client's
neck?
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Positive Brudzinski's sign
Spinal cord injury at T6 and above leads to
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○loss of bladder/bowel/, paraplegia
What procedure used for ischemic stroke is where plaque is removed from an artery?
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, Carotid endarterectomy
What is the expected side effect of phenytoin?
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gingival hyperplasia
What is the target INR for patients starting on warfarin therapy?
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2-3 seconds
What nursing interventions would the nurse initiate for a spinal injury patient who has
urinary retention?
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Foley, Intermittent straight cath
What are the respiratory nursing management considerations for a patient with
Increased ICP?
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