Chapter 48: Traumatic and Neoplastic Problems of the Brain

Monahan Phipps Medical Surgical 8th Edition By Monahan

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Chapter 48: Traumatic and Neoplastic Problems of the Brain

 

Complete Chapter Questions With Answers

 

Sample Questions Are Posted Below

 

MULTIPLE CHOICE

 

  1.    An important principle for neurologic assessment of the patient with a head injury is:
1. Establish trends in signs and symptoms
2. Vigorously stimulate the patient before neurologic assessment
3. Limit the frequency of neurologic checks to prevent overstimulation
4. Sensory assessment should be consistently performed before motor assessment

 

 

ANS: 1                    PTS:   1                    DIF:   Category: Neuromuscular

TOP:  Nursing Process: Assessment        MSC: Client Needs: Physiological Integrity

 

  1.    Which entry in the nursing notes is most helpful to the oncoming shift? “The patient:
1. opened eyes after their name was called three times”
2. responds slowly to stimulation”
3. is obtunded”
4. appears confused”

 

 

ANS: 1                    PTS:   1                    DIF:   Category: Neuromuscular

TOP:  Nursing Process: Evaluation         MSC: Client Needs: Safe Effective Care Environment

 

  1. Nursing assessment reveals that the patient moans in response to a painful stimulus. This level of consciousness (LOC) is called:
1. Deep coma
2. Obtunded
3. Stuporous
4. Confused

 

 

ANS: 3                    PTS:   1                    DIF:   Category: Neuromuscular

TOP:  Nursing Process: Analysis/Nursing Diagnosis

MSC: Client Needs: Physiological Integrity

 

  1. Criteria used to determine brain death include:
1. Known cause of coma, absence of reflexes and respirations
2. Decerebrate posturing and flat-line electrocardiogram
3. One or more flat electroencephalograms
4. Absent heartbeat

 

 

ANS: 1                    PTS:   1                    DIF:   Category: Neuromuscular

TOP:  Nursing Process: Evaluation         MSC: Client Needs: Physiological Integrity

 

  1. Which nursing notation provides the best assessment information regarding level of consciousness in the comatose patient?
1. “Attempts to push nurse’s hand away when fingernail pressure applied”
2. “Grimaces and makes nonpurposeful movements”
3. “Unresponsive to painful stimulus”
4. “Responds to painful stimulus”

 

 

ANS: 1                    PTS:   1                    DIF:   Category: Neuromuscular

TOP:  Nursing Process: Evaluation         MSC: Client Needs: Safe Effective Care Environment

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