NURS 239 Exam 4 (with Complete Answers)

Your patient has a hemmorrhagic stroke with frontal lobe damage, what will this affect in the patient? correct answers poor judgement, flat affect Patient has a spinal cord injury due to a MVA and their upper motor neurons are affected, how will the patient present? correct answers spastic Glascow Coma Scale correct answers 3 = lowest 15 = normal Can NEVER be Zero Patient with a right hemi stroke gets caught in their wheel chair, this is due to? correct answers unilateral neglect Patient comes in having a seizure and suffers from a head injury, what is the ER nurse highest priority? correct answers airway Patient has a subdural hematoma and underwent a craniotomy, their urine output continues to increase, what as the nurse should you assess? correct answers check electrolyte levels Your patient has a spinal cord secondary injury, this is caused by what? correct answers inflammatory response Function goals for a high spinal cord injury with loss of function? correct answers use of math A patient has parathesia resulting in two hours? correct answers TIA A patient who fell from a ladder is admitted to your unit, what assessment findings will you observe? correct answers high ICP clear drainage from ear eccoymosis at the base of the skull A patient with a new intracranial injury presents to the ER. Their parasympathetic nervous system is engaged if which of the following is assessed? Select all that apply correct answers -decreased HR -decreased BP -Increased GI/GU -constrict pupils -constrict airway -contract bladder A patient has a super high ICP, and then it drops and pupils become fixed, dilated and flaccid, what is this? correct answers Herniation