Rasmussen College NURSING NUR 2063 NUR2063 Final Exam Focused Review Part 1.

 Brain abscess s/s (infection, pus) Signs of infectious etiology, localized collection of pus -Stiff neck, headache, intracranial pressure, change in LOC, vision/speech/behavior changes  Priority assessments ABC’s (airway, breathing/respiratory, circulation/cardiovascular), level of consciousness  Glascow coma scale Used to assess LOC in acutely brain-injured patients, eye opening/arousal-directed responses/motor reactions, under 8 is severe, over 12 is mild  Mechanisms of spinal cord injuries Hyperflexion (forward), hyperextension (backward), compression  Decorticate vs decerebrate posturing Decorticate=abnormal flexor (arms/hands up on chest), decerebrate=abnormal extension (arms/hands at sides)  Meningitis (S.P. bacteria in CNS) -Bacteria usually reach the CNS via the bloodstream or extension from cranial structures like sinuses or ears. -Most common bacteria are Streptococcus pneumoniae. -Bacteria invade leptomeninges; accumulation of inflammatory exudate can result in obstructive hydrocephalus (excess fluid in head). -Classic presentations: headache, fever, stiff neck (meningismus), and signs of cerebral dysfunction (confusion, delirium)  Types of traumatic brain injuries