NEURO ATI questions and answers 2023

NEURO ATI questions A client has been diagnosed with swimmers ear. What solution will the nurse advise the client to put in their ear? - diluted alcohol solution after swimming; it decreases bacteria and dry's the external ear canal's growth A client is undergoing an MRI of the cervical vertebrae. What are contraindications to an MRI? - Cerebral aneurysm clips Cardiac pacemakers****** Autonomic internal defibrillator Metal foreign bodies in the eyes metal cochlear implants anything metal titanium is NOT a magnetic material* and is okay for MRI Remember jewelery does NOT exclude a person from an MRI* because it can be easily removed - What is ataxic breathing? - breathing consisting of irregular respiratory rate and rhyhtm What are Kussumal respirations? what condition do they occur in? - deep, gasping respiratory pattern; diabetic coma Cheyne-Stokes respirations - rhythmic breathing pattern of increasing depth and rate with a period of apnea of 10 - 20seconds What is apneustic breathing? - slow breathing with a prolonged pause between inspiration and expiration A nurse is taking care of a client post-operatively following a craniotomy. The client is experiencing increasing urine output. What is this a sign of? What lab should the nurse check? - Diabetes inspidius (caused by damage to the hypothalamus/pituitary gland) specific gravity A client with Meinerres disease is experiencing recurrent episodes. What should the nurse advise the patient to prevent exacerbations? - Avoid sudden movements avoid watching TV, reading, bright lights Increase rest What is an early manifestation of ALS? - Weakness of the distal extremities A Glasgow coma score of 3 indicates what? - deep coma/ death A Glasgow coma score of 15 indicates what? - the client is fully awake A GCS of 8 or less indicates what? - coma What are the 3 features the GCS assesses? - Best motor response Best eye opening Best verbal response What is the lowest achievable Glasgow Coma Score? - 3 What is the purpose of a craniotomy? - an incision through the cranium to remove accumulated blood or a tumor What are complications associated with a craniotomy? - diabetes inspidius inappropriate ADH (as a result of trauma to the pituitary/hypothalamus) What is a client at risk for following a craniotomy? - Increased ICP Cerebral edema --- avoid giving fluids!