Page 275 - Critical Care Nursing Demystified

260 CRITICAL CARE NURSING DeMYSTIFIED

REVIEW QUESTIONS

WHAT HAS BEEN LEARNED?
1. A 59-year-old female is brought to the Emergency Room via ambulance and is
pronounced DOA (dead on arrival.) She has sustained a TBI (traumatic brain
injury) having been struck in the head with a baseball bat. This type of traumatic
brain injury is an example of what kind of impact? Choose all that apply.
A. Contrecoup
B. Perforating
C. Deceleration
D. Acceleration

2. A nurse is evaluating a patient with a coup/contrecoup injury after the patient
was rear-ended. Which areas of the brain would be most likely affected?
A. Cerebellum
B. Cerebrum: frontal lobe
C. Cerebrum: temporal lobe
D. Cerebrum: occipital lobe

3. The nurse knows that the reason for the flow of bodily CSF to be reabsorbed Downloaded by [ Faculty of Nursing, Chiangmai University 5.62.158.117] at [07/18/16]. Copyright © McGraw-Hill Global Education Holdings, LLC. Not to be redistributed or modified in any way without permission.
daily is to
A. Maintain a high intracranial pressure level
B. Increase hydrostatic pressure
C. Impede cerebral circulation
D. Avoid the development of excessive CSF buildup and hydrocephaly

4. The patient performs the finger-to-nose test and overshoots the mark. This is an
example of
A. Anisocoria
B. Dysmetria
C. Hemaniopsia
D. Diplopia

5. Which ICP reading is considered to be at an acceptable level in your patient?
A. 0–15 mm Hg
B. 0–20 mm Hg
C. 0–18 mm Hg
D. 0–25 mm Hg