Help
Options
Didn't know it?
click below
click below
Knew it?
click below
click below
Don't Know
Remaining cards (0)
Know
retry
shuffle
restart
0:00
Embed Code - If you would like this activity on your web page, copy the script below and paste it into your web page.
Normal Size Small Size show me how
Normal Size Small Size show me how
concept in nursing 2
head injury
| Question | Answer |
|---|---|
| A patient is admitted to the hospital following a motor vehicle accident. The patient has an oval shaped bruise behind the right ear in the mastoid region, a very runny nose, and is unable to move the muscles in the right side of his face. | -- |
| Which skull fracture do these clinical manifestations correspond to? | Basilar skull fracture |
| Why is a CT scan the best diagnostic test for evaluating acute head trauma? | Allows for rapid diagnosis and intervention |
| An older patient was found unconscious at home and was brought to the hospital. Upon arrival at the emergency department (ED), the patient regained consciousness and spoke with the nurses. | -- |
| During the initial assessment the patient complained of a headache immediately before losing consciousness again. These are all classic manifestations of which head trauma complication? | Epidural hematoma |
| The nurse is caring for a patient who presents with an actively bleeding head wound. The patient is obtunded, with one fixed pupil. The pulse is thready and respiratory effort is increased. Which provider orders would the nurse anticipate? | Prepare for intubation. Administer IV 0.9% Saline |
| A patient is recovering well following a craniectomy. Once the patient has fully recovered, the collaborative care team should expect the patient to undergo which procedure? | Cranioplasty |
| A patient with rapidly increasing ICP had an emergency craniotomy to relieve the pressure. Now that the patient is stable, which action should the care team perform? | Transport to CT scan |
| A nurse is caring for a patient who recently suffered a traumatic brain injury. The patient complains of severe headache, nausea and vomiting, and is irritable. The nurse notes increased blood pressure and a fixed right pupil. | -- |
| Which action would the nurse take first? | Elevate Head of Bed |
| During assessment of a patient with head trauma, the nurse notes slurred speech and a right sided facial droop. Which action should the nurse take? | -Assess the patient’s airway patency -Visualize the patient’s pupillary response -Evaluate the patient’s level of consciousness |
| A patient sustained a head injury two days ago. The patient asks the nurse if a hot bath could be provided. How should the nurse respond? | “You should take a lukewarm bath.” |
Created by:
Lightnning54
Popular Nursing sets