Chapter 66: Management of Patients With Neurologic Dysfunction 1

Shivering

A client is receiving hypothermic treatment for uncontrolled fever related to increased intracranial pressure (ICP). Which assessment finding requires immediate intervention?

Keep the client on one side.

A client with epilepsy is having a seizure. What intervention should the nurse do after the seizure?

3

A nurse assesses the patient's level of consciousness using the Glasgow Coma Scale. What score indicates severe impairment of neurologic function?

Side-lying, to facilitate drainage of oral secretions

After a seizure, the nurse should place the patient in which of the following positions to prevent complications?

Assess for a patent airway.

An unresponsive patient is brought to the ED by a family member. The family states, "We don't know what happened." Which of the following is the priority nursing intervention?

Seizure was 1 minute in duration including tonic-clonic activity.

Following a generalized seizure in a client, which nursing assessment is a priority for detailing the event?

Lethargy and stupor

What does the nurse recognize as the earliest sign of serious impairment of brain circulation related to increasing ICP?

Change in level of consciousness

Which is the earliest sign of increasing intracranial pressure?

Anticonvulsants

Which medication classification is used preoperatively to decrease the risk of postoperative seizures?

Avoiding flexion of the neck with use of a cervical collar

Which positions is used to help reduce intracranial pressure (ICP)?