Nurs. 4040: Cerebral Dysfunction Exam Practice Questions and Answers

Nurs. 4040: Cerebral Dysfunction Exam Practice Questions and Answers What are some symptoms of increased ICP in an infant? - Ans:-Bulging fontanel Irritability High-pitched cry Changes in feedings Setting-sun sign What is the setting sun sign? - Ans:-One eye looks like the setting sun What are some components to the neurologic exam? - Ans:-Pediatric Coma Scale V/S Skin Eyes (pupil size and reactivity) Motor function ©GRACEAMELIA 2024/2025 ACADEMIC YEAR. ALL RIGHTS RESERVED FIRST PUBLISH OCTOBER 2024 Page 2/26 Posturing Reflexes What are some signs of increased ICP in children? - Ans:-HA N/V Diplopia Blurred vision Seizures Irritability Drowsiness Memory loss Decline in school performance What are some nursing interventions for increased ICP? - Ans:-HOB elevated 30 degrees Nutrition and hydration Quiet environment, little stimuli ©GRACEAMELIA 2024/2025 ACADEMIC YEAR. ALL RIGHTS RESERVED FIRST PUBLISH OCTOBER 2024 Page 3/26 What are some medications for increased ICP? - Ans:-Antibiotics Corticosteroids Sedatives Anti-epileptics What is the decorticate position? - Ans:-Hands at chest Doll's eyes should be treated how? - Ans:-Emergency What is some nursing care of the unconscious child? - Ans:-Continuous observation of LOC Pupillary reactions VS Respiratory management (airway) Meds Hygiene (skin, mouth, eye care) Elimination Positioning and exercise ©GRACEAMELIA 2024/2025 ACADEMIC YEAR. ALL RIGHTS RESERVED FIRST PUBLISH OCTOBER 2024 Page 4/26 Family support Thermoregulation Describe coup. - Ans:-Movement that causes bruising at point of impact (bat to head) Describe contrecoup. - Ans:-Happens where brain collides with surface far from point of impact (brain bounces off skull) How is ICP monitored? - Ans:-Direct ventricular pressure