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concept in nursing 2
Inflammatory Diseases of the Central Nervous System
| Question | Answer |
|---|---|
| During the assessment of a patient with a brain abscess, the nurse notes elevated blood pressure and altered level of consciousness. Which additional symptoms should the nurse assess for? | -Fever -Nausea -Headache -Drowsiness |
| A patient is showing symptoms of encephalitis. Which question should the nurse ask the patient? | “Have you recently spent time in wooded or swampy areas?” |
| The nurse is caring for a patient with encephalitis who was positive for cytomegalovirus. Which immunocompromising condition is this related to? | HIV |
| The nurse is caring for a patient with encephalitis. The patient reports headache, nausea and irritability. The nurse notes temperature 103.2, BP 138/88, HR 97, Respirations 22, SpO2 96%. Which action would the nurse take first? | Administer Phenytoin IV |
| A charge nurse is meeting with the team members on the unit and is discussing care of a patient with bacterial meningitis. Which information about visitors is most important for the charge nurse relay to the care team? | Visitors should be limited, and will be required to wear appropriate PPE. |
| A patient with bacterial meningitis has a temperature of 101.2 °F. Which health care provider orders would the nurse anticipate? | -Ampicillin IV -Maintenance IV fluids -Acetaminophen PO PRN |
| The nurse is caring for a patient with a brain abscess. The patient reports a severe headache, nausea and vomiting. Which nursing intervention should be implemented? | Administer IV antiemetic medication |
| Which actions can the nurse take to decrease environmental stimuli for a patient with bacterial meningitis? | -Turn off television -Turn off overhead lights -Limit patient’s visitors -Close the room’s window blinds |
| A nurse is caring for a patient who has recently been diagnosed with encephalitis. When the nurse enters the patient’s room, the patient claims that they “fell asleep in bed, but woke up on the floor” and don’t remember how they got there. | -- |
| The patient is showing increased confusion. Which nursing action should be implemented immediately for this patient? | Assess the patient for Injuries |
| A patient reports of severe headache, projectile vomiting, blurred and doubled vision, sensitivity to light and a fever of 102.5. Which nursing care actions are appropriate for this patient? | -Turn off the lights to relieve vision symptoms -Ensure fluids are given frequently to prevent dehydration -Perform frequent neurological checks to monitor patient cognition |
Created by:
Lightnning54
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