Chapter 45 Patients With Neurologic Trauma

Chapter 45  Patients With Neurologic Trauma

Complete Chapter Questions And Answers
 

Sample Questions

1.
The emergency department nurse is caring for a patient who has been brought in by ambulance after sustaining a fall at home. The patient is exhibiting an altered level of consciousness. Following a skull X-ray, the patient is diagnosed with a basilar skull fracture. Which sign should alert the nurse to this type of fracture?
A)
Babinski sign
B)
Kernig’s sign
C)
Battle’s sign
D)
Brudzinski’s sign

2.
A patient is brought to the trauma center by ambulance after sustaining a high cervical spinal cord injury 1½ hours ago. What medication does the nurse know will be given to prevent further spinal cord damage?
A)
Furosemide (Lasix)
B)
Methylprednisolone (Solu-Medrol)
C)
Cyclobenzaprine (Flexeril)
D)
Hydralazine hydrochloride (Apresoline)

3.
A nurse is caring for a patient who is exhibiting signs and symptoms of autonomic dysreflexia. What clinical manifestations would the nurse expect in this patient?
A)
Tachycardia and hypotension
B)
Bradycardia and hypertension
C)
Tachycardia and hypertension
D)
Bradycardia and hypotension

4.
The nurse is caring for a patient with increased intracranial pressure (ICP) caused by a traumatic brain injury. Which of the following clinical manifestations would indicate that the patient is experiencing increased brain compression causing brainstem damage?
A)
Hyperthermia
B)
Tachycardia
C)
Hypertension
D)
Bradypnea

5.
A male patient is brought to the emergency department by his family after falling off his roof. A family member tells the nurse that when the patient fell he was “knocked out” but came to and “seemed to be okay.” Now the patient is complaining of a severe headache and states that he is “not feeling well.” The care team suspects an epidural hematoma. Based on the knowledge of the progression of this type of hematoma, the nurse prepares for which priority intervention?
A)
Insertion of an intracranial (IC) monitoring device
B)
Treatment with antihypertensives
C)
Emergency craniotomy
D)
Administration of anticoagulant therapy

Answer Key

1.
C
2.
B
3.
B
4.
A
5.
C