CONCEPTS OF MEDICAL SURGICAL NURSING
EXAM 3 | CORRECLTY ANSWERED AND
GRADED A+ | GALEN
Possible manifestation of injured temporal lobes - Correct Answer -
recognizing faces, understanding spoken words, selective attention, ID
and Verbalization about objects, memory, sexual behavior, categorizing
objects, persistent talking, aggressive behavior
Possible manifestation of injured brain stem - Correct Answer - Problems
breathing, speech, swallowing food and water, organization and
perception of the environment, balance and movement, dizziness,
nausea, sleep
Function of the cerebellum - Correct Answer - Coordination of balance
and equilibrium
Possible manifestation of injured cerebellum - Correct Answer -
coordination of fine movements, walking, reaching out and grabbing
objects, tremors, rapid movements
The most common infection that can be from a abrasion of the scalp -
Correct Answer - Meningitis
,what are some secondary brain injury events? - Correct Answer -
ischemia from hypoxia and hypotension, hemorrhage, cerebral edema
Clients with a traumatic brain injury usually have injury to other areas like
what? - Correct Answer - C-Spine heart, lungs, facial structures,
abdomen, bones
What is the leading cause of traumatic head injuries - Correct Answer -
MVA
What are some primary brain injury event - Correct Answer - contusion,
lacerations, damage to blood vessels, acceleration/deceleration injuries,
foreign object penetration
Which of the primary or secondary is preventable? - Correct Answer -
Secondary
what is the end result of Secondary (indirect) brain injury - Correct
Answer - ICP and or herniation
How would you pharmacology treat ICP - Correct Answer - Mannitol
,The first thing you assume when managing a patient with a traumatic
head injury - Correct Answer - C spine fracture RT loss of breathing
Scalp injuries can cause - Correct Answer - Lacerations, hematomas,
contusion or abrasions
High velocity objects produce what in the brain and skull - Correct
Answer - Shock waves
Therapy to preserve brain homeostatsis and prevent secondary damage
- Correct Answer - Treat cerebral edema
maintain perfusion by treating hypotension, hypovolemia, bleeding,
management of ICP
Maintain oxygenation
maintain cardiovascular and respiratory function
Depressed skull fracture injure the brain by - Correct Answer - bruising it
or driving bone fragments into the brain
What are the three types of skull fracture - Correct Answer - Linear,
depressed, basilar
Of the three types of skull fracture which types do not require medical
treatment most of the time - Correct Answer - Linear
, Depressed skull fracture - Correct Answer - can be palpated and are
seen on x ray
basilar skull fracture - Correct Answer - occurs in bones over the base of
the frontal lobe and temporal lobes
Manifestation of basilar skull fracture - Correct Answer - ecchymosis
around the eyes and behind the ear. Blood and CSF can leak out od the
ears, nose, eyes, and mouth
What is the cardinal sign of increased ICP - Correct Answer - Vomiting
Diffused brain injury - Correct Answer - Involves the tissue of the entire
brain
Example of a diffused brain injury - Correct Answer - concussion -
resulting loss of consciousness for 5 minutes or less
Diffuse axonal injury - Correct Answer - most severe form of head
injury... three types mild, moderate, severe
mild diffused axonal injury manifestations - Correct Answer - LOC lasting
6-24 hours and short term disabilities