Chapter 66: Management of Patients With Neurologic Dysfunction 5

Turn client to side-lying position.

A client falls to the floor in a generalized seizure with tonic-clonic movements. Which is the first action taken by the nurse?

Brain tumor

An older client complains of a constant headache. A physical examination shows papilledema. What may the symptoms indicate in this client?

Lethargy and stupor

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

Altered respiratory patterns

Which is a late sign of increased intracranial pressure (ICP)?

Using a cervical collar

Which method is used to help reduce intracranial pressure?

Administer corticosteroids as ordered.

The nurse is caring for an 82-year-old client diagnosed with cranial arteritis. What is the prioritynursing intervention?

Decorticate

Which posture exhibited by abnormal flexion of the upper extremities and extension of the lower extremities?

diminished responsiveness.

A nurse is monitoring a client for increasing intracranial pressure (ICP). Early signs of increased ICP include:

Administering a stool softener as ordered

A client is transferred to the intensive care unit after evacuation of a subdural hematoma. Which nursing intervention reduces the client's risk of increased intracranial pressure (ICP)?

"There is a strong familial tendency."

A nurse is providing education about migraine headaches to a community group. The cause of migraines has not been clearly demonstrated, but is related to vascular disturbances. A member of the group asks about familial tendencies. The nurse's correct reply will be which of the following?