Priorities in Critical Care Nursing, 6th Edition by Linda D.
Priorities in Critical Care Nursing, 6th Edition by Linda D.
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Chapter 18: Neurological Disorders and Therapeutic Management
Complete Chapter Questions With Answers
Sample Questions Are Posted Below
MULTIPLE CHOICE
| a. | “We need to find out what part of his brain was involved in the stroke.” |
| b. | “This is the best way to determine whether his stroke was due to bleeding inside his brain or was the result of a clot.” |
| c. | “We can get images of the damage to his brain at this point and use them later to see if he has sustained more damage.” |
| d. | “This procedure will distinguish between a brain tumor and a stroke as the cause of your husband’s problem.” |
ANS: B
Confirmation of the diagnosis of ischemic stroke is the first step in the emergent evaluation of these patients. Differentiation from intracranial hemorrhage is vital. Noncontrast CT scanning is the method of choice for this purpose and is considered the most important initial diagnostic study.
DIF: Cognitive Level: Comprehension REF: 364
OBJ: Nursing Process: Implementation TOP: Neurological Disorders
MSC: NCLEX: Physiological Integrity: Physiological Adaptation
| a. | “If we don’t remove it surgically, she will die.” |
| b. | “There is a procedure called embolization that can be done to secure the lesion without surgery. When her condition is more stable, an operation might be considered if needed.” |
| c. | “The operation is necessary, even if it results in further brain damage and possible permanent changes in her neurological status.” |
| d. | “We can delay interventions until her condition is stable enough to risk surgery.” |
ANS: B
Embolization is used to secure a cerebral aneurysm or arteriovenous malformation when surgery is not feasible because of the size or location of the lesion or the medical instability of the patient.
DIF: Cognitive Level: Comprehension REF: 369
OBJ: Nursing Process: Implementation TOP: Neurological Disorders
MSC: NCLEX: Physiological Integrity: Physiological Adaptation
| a. | Descend to his lower extremities |
| b. | Subside and leave no residual effect |
| c. | Ascend |
| d. | Be more pronounced on his nondominant side |
ANS: C
Most patients diagnosed with Guillain-Barré syndrome report having had a viral infection, usually involving the upper respiratory tract, 1 to 3 weeks before the onset of clinical manifestations. Motor loss usually is symmetric, bilateral, and ascending.
DIF: Cognitive Level: Comprehension REF: 374
OBJ: Nursing Process: Assessment TOP: Neurological Disorders
MSC: NCLEX: Physiological Integrity: Physiological Adaptation
| a. | “She has had a clot in her brain, and part of the tissue isn’t getting any oxygen.” |
| b. | “Some bleeding occurred in her brain, and the pressure from the blood is causing her to have problems.” |
| c. | “The injuries she sustained in the auto accident caused bone to be pressed into her brain, which resulted in the changes that you see.” |
| d. | “An infection in her brain tissue is making it impossible for electrical impulses to travel in an efficient manner.” |
ANS: A
Ischemic stroke results from low cerebral blood flow, usually because of occlusion of a blood vessel. The occlusion can be either thrombotic or embolic. Hypoperfusion resulting from hypotension also produces ischemic stroke.
DIF: Cognitive Level: Comprehension REF: 362
OBJ: Nursing Process: Assessment TOP: Neurological Disorders
MSC: NCLEX: Physiological Integrity: Physiological Adaptation
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