Exam 24: Neurologic Disorders and Therapeutic Management

The osmotic diuretic that has been most effective in the reduction of increased ICP is

After neurosurgery,the patient is at the greatest risk of developing

A patient becomes flaccid with fixed and dilated pupils.The patient's ICP falls from 65 to 12 mm Hg.What should the nurse suspect is happening?

Which of the following medications is prescribed to decrease cerebral vasospasm?

Corneal epithelial breakdown in the coma patient is prevented by instillation of saline or methylcellulose lubricating eyedrops every

A patient has been experiencing drowsiness,confusion,and slight focal deficits for 3 days.The CT report findings are negative.The patient is being prepared for a lumbar puncture.The nurse anticipates that the CSF would appear

Appropriate therapy for ischemic stroke depends on rapid completion of which diagnostic study?

A patient has been admitted with an ischemic stroke.The patient received recombinant tissue plasminogen activator (rtPA)in the emergency department.The nurse checks the medication administration record to make sure the patient does not have which medications for the next 24 hours?

A 76-year-old right-handed patient has been admitted to the critical care unit with an intracerebral hemorrhage.A CT of her head reveals a large left parietal area bleed.Patient assessment includes T 98.7°F,P 98 beats/min and thready,R 8 breaths/min,and BP 168/100 mm Hg.The patient's initial treatment plan should involve

A 76-year-old right-handed patient has been admitted to the critical care unit with an intracerebral hemorrhage.A CT of her head reveals a large left parietal area bleed.Based on the type of stroke she experienced,which of the following signs and symptoms might she exhibit?

A patient returns from surgery for removal of a pituitary tumor that has not extended into the intracranial vault.The nurse observes a large amount of clear drainage from the nose.The nurse expects the physician to order a glucose test of the drainage to confirm

The most common drug(s)used in high-dose barbiturate therapy are

The incidence of rebleeding after a ruptured cerebral aneurysm is highest during which of the following time periods?

A patient's ICP is 34 mm Hg,and his cerebral perfusion pressure is 65 mm Hg.Which of the following is the most appropriate intervention?

One of the earliest and most important signs of increased ICP is

Which patient position is optimal to prevent elevated ICP pressures?

The target range for PaCO₂ when using hyperventilation to lower ICP is

When an object is placed in the hand of a patient with neurologic impairment during assessment,the patient is unable to recognize the placement.This is termed tactile

A patient is admitted to the critical care unit with an acute head injury after a motor vehicle accident.The patient has a Glasgow Coma Scale score of 6.The patient is intubated and ventilated,and a ventriculostomy is placed with physician orders to keep the ICP less than 15 mm Hg.The patient's ICP continues to rise despite aggressive intervention.Which of the following is an advantage of a ventriculostomy ICP monitoring system?

Causes of metabolic coma include