A patient with traumatic brain injury is receiving norepinephrine to maintain CPP
between 60 - 70 mm Hg. The patient's ICP waveform changes from P1 higher than P2
higher than P3, to P2 higher than P1 and P3. Which of the following interventions is
most likely to affect the change in ICP waveform?
Give this one a try later!
Ensure the patient's neck is in neutral alignment.
, A patient is admitted following a drug overdose. The patient does not open eyes
upon verbal request but localizes to a trapezius muscle squeeze without opening
eyes. The nurse should document the patient's mental status as:
Give this one a try later!
Responsive to painful stimuli
In assessing an unconscious patient who is noted to have new-onset sluggish
pupillary light reflex, deficits in what other cranial nerve reflexes can indicate
brainstem compression?
Give this one a try later!
Deficits in pupil reactivity to light and the basic protective reflexes (e.g.,
gag, cough, corneal) in an unconscious patient can indicate brainstem
compression. Report new-onset or previously unknown deficits
immediately to the provider.
A patient is admitted after an unwitnessed cardiac arrest at home. Review the EMR.
What criterion is anticipated as part of the decision-making process to support
declaration of death by neurologic criteria?
Give this one a try later!
The PaCO2 increases to 68 when off ventilator for 8 minutes.
During an apnea test, patients without brainstem function will remain
apneic even when the PaCO2 reaches very high levels.
between 60 - 70 mm Hg. The patient's ICP waveform changes from P1 higher than P2
higher than P3, to P2 higher than P1 and P3. Which of the following interventions is
most likely to affect the change in ICP waveform?
Give this one a try later!
Ensure the patient's neck is in neutral alignment.
, A patient is admitted following a drug overdose. The patient does not open eyes
upon verbal request but localizes to a trapezius muscle squeeze without opening
eyes. The nurse should document the patient's mental status as:
Give this one a try later!
Responsive to painful stimuli
In assessing an unconscious patient who is noted to have new-onset sluggish
pupillary light reflex, deficits in what other cranial nerve reflexes can indicate
brainstem compression?
Give this one a try later!
Deficits in pupil reactivity to light and the basic protective reflexes (e.g.,
gag, cough, corneal) in an unconscious patient can indicate brainstem
compression. Report new-onset or previously unknown deficits
immediately to the provider.
A patient is admitted after an unwitnessed cardiac arrest at home. Review the EMR.
What criterion is anticipated as part of the decision-making process to support
declaration of death by neurologic criteria?
Give this one a try later!
The PaCO2 increases to 68 when off ventilator for 8 minutes.
During an apnea test, patients without brainstem function will remain
apneic even when the PaCO2 reaches very high levels.
