What is the most important nursing task to reduce pressure points on a pt? - ANSWER Rotate pt every 2 hours
What is the Braden scale used for? - ANSWER assess pressure ulcer risk
Which measurements are in the Braden scale? - ANSWER - Sensory perception (1-4 pts)
- Moisture (1-4 pts)
- Activ...
What is the most important nursing task to reduce pressure points on a pt? -
ANSWER Rotate pt every 2 hours
What is the Braden scale used for? - ANSWER assess pressure ulcer risk
Which measurements are in the Braden scale? - ANSWER - Sensory perception (1-
4 pts)
- Moisture (1-4 pts)
- Activity (1-4 pts)
- Mobility (1-4 pts)
- Nutrition (1-4 pts)
- Friction & Shear (1-3 pts_
(total of 23 points. The lower the points the bigger the risk for pressure ulcer)
Which conditions does a brain scan pick up? - ANSWER - vascular lesions
- neoplasms
- abscesses
- areas of cerebrovascular ischemia
What does a neuro chair do? - ANSWER help to transfer pt's in and out of bed and
serve as a comfortable place for the pt to rest when out of bed.
, If a pt. with autonomic dysreflexia gets sudden hypertension, they are at risk
for______? - ANSWER Death.
What can a brain abscess lead to? - ANSWER Meningitis
What are the 2 signs for meningeal irritation? - ANSWER - Brudzinski (stiff neck)
- Kernig (stiffness of hamstrings)
How do you test for Brudzinski (stiff neck)? - ANSWER Severe neck stiffness causes
a patient's hips and knees to flex when the neck is flexed
How do you test for Kernig (stiffness of hamstrings)? - ANSWER inability to
straighten the leg when the hip is flexed to 90 degrees.
What should a nurse never do to a pt with increased intracranial pressure? -
ANSWER never move the head up or down without specific orders from
healthcare provider.
Which part of the brain is involved with long term memory? - ANSWER
Hippocampus
Stimulating the vagus nerve does what? - ANSWER decreased heart rate
why do we dextrostix fluid seeping from eyes, ears, or nose in head injury pt's? -
ANSWER to determine if glucose is present
The benefits of buying summaries with Stuvia:
Guaranteed quality through customer reviews
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying these notes from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller shantelleG. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $11.99. You're not tied to anything after your purchase.
