Nur176 Exam 1 - Questions, Answers And Feedback

Lumbar Puncture {Ans: } Diagnostic procedure to collect cerebrospinal fluid; contraindicated in patients with increased intracranial pressure, who should lay flat for 3-6 hours after.Nuchal Rigidity {Ans: } Stiffness in the neck; a sign of increased intracranial pressure.Projectile Vomiting {Ans: } Forceful vomiting; a sign of increased intracranial pressure.Quiet Room Assignment {Ans: } Appropriate environment for a patient with a head injury to minimize stimulation.Change in Level of Consciousness {Ans: } Earliest indication of increased intracranial pressure; includes confusion, drowsiness, and agitation.Systolic Pressure {Ans: } The top number in a blood pressure reading; affected by increased intracranial pressure.Temperature {Ans: } Body temperature; affected by increased intracranial pressure, often leading to fever.Irregular Respirations {Ans: } Abnormal breathing patterns; affected by increased intracranial pressure.Decorticate Posture {Ans: } Abnormal posture indicating neurological damage; characterized by flexed arms, clenched fists, and extended legs.Multiple Sclerosis Sleep {Ans: } Adequate sleep is recommended to avoid exacerbation of symptoms.Diplopia {Ans: } Double vision; an early sign of multiple sclerosis.Stroke Symptoms {Ans: } Left-sided symptoms include slow behaviors, apraxia, and speech problems; right-sided symptoms include quick behaviors and short attention span.Modifiable Stroke Risk Factors {Ans: } Risk factors that can be controlled or managed, including sedentary lifestyle, hypertension,