NSG 6005 WEEK 8 QUIZ CONCEPT REVIEW
GUIDE 2026 CARE MANAGEMENT AND
ADVANCED CLINICAL SKILLS
◉ physical examination of the aging brain.
Answer: smaller pupils that respond to light slowly, jerky tracking,
reflexes intact except for Achilles tendon jerk (ABSENT)
◉ functional ability changes in the aging brain.
Answer: reaction time increases (especially for complex reactions),
tremors in head, face, hands; dizziness, problems with balance (not
considered "normal" but may be caused by age related
disease/drugs)
◉ assessment of LOC.
Answer: MOST ACCURATE/RELIABLE; evaluate pt for orientation to
person, place, time; evaluate stimulation required for response;
consider pt behavior
◉ pt preparation for lumbar puncture.
Answer: INFORMED CONSENT; tell pt that fluid sample will be taken
from spinal column; have pt void (reduce discomfort); support pt on
one side in knee to chest position during procedure
, ◉ SATA postprocedure nursing care for lumbar puncture.
Answer: -risk of headache reduced by lying flat for specific period
after procedure
-encourage oral fluids
-assess for numbness, tingling, or pain in extremities; CSF or
bleeding from puncture site; and vital sign changes
-promptly deliver labeled specimens to lab
-puncture site covered w/ small bandage
◉ s/s of increased ICP.
Answer: when more extensive, abnormal posturing:
-flexor/decorticate posturing (flexion in upper extremities w/
extension of lower extremities) affecting above midbrain
-extension/decerebrate posturing (extension in lower extremeties
and upper extremeties extended with supination) in
midbrain/upper pons
◉ medical tx for increased ICP.
Answer: (jugular vein=primary route for venous outflow from brain)
raise head of bed 30-45 degrees improves flow of venous blood from
brain (decreases cerebral BV and ICP); perfusion pressure better
preserved if head not elevated more than 30 degrees
GUIDE 2026 CARE MANAGEMENT AND
ADVANCED CLINICAL SKILLS
◉ physical examination of the aging brain.
Answer: smaller pupils that respond to light slowly, jerky tracking,
reflexes intact except for Achilles tendon jerk (ABSENT)
◉ functional ability changes in the aging brain.
Answer: reaction time increases (especially for complex reactions),
tremors in head, face, hands; dizziness, problems with balance (not
considered "normal" but may be caused by age related
disease/drugs)
◉ assessment of LOC.
Answer: MOST ACCURATE/RELIABLE; evaluate pt for orientation to
person, place, time; evaluate stimulation required for response;
consider pt behavior
◉ pt preparation for lumbar puncture.
Answer: INFORMED CONSENT; tell pt that fluid sample will be taken
from spinal column; have pt void (reduce discomfort); support pt on
one side in knee to chest position during procedure
, ◉ SATA postprocedure nursing care for lumbar puncture.
Answer: -risk of headache reduced by lying flat for specific period
after procedure
-encourage oral fluids
-assess for numbness, tingling, or pain in extremities; CSF or
bleeding from puncture site; and vital sign changes
-promptly deliver labeled specimens to lab
-puncture site covered w/ small bandage
◉ s/s of increased ICP.
Answer: when more extensive, abnormal posturing:
-flexor/decorticate posturing (flexion in upper extremities w/
extension of lower extremities) affecting above midbrain
-extension/decerebrate posturing (extension in lower extremeties
and upper extremeties extended with supination) in
midbrain/upper pons
◉ medical tx for increased ICP.
Answer: (jugular vein=primary route for venous outflow from brain)
raise head of bed 30-45 degrees improves flow of venous blood from
brain (decreases cerebral BV and ICP); perfusion pressure better
preserved if head not elevated more than 30 degrees
