Question

NURS 340 he family asks what the off any fluid on the brain." surgery invo A catheter will be places in the skull and rem b. "A surgeon will but 11. A patient with a significant head injury requires a craniotomy. The family ask surgery involves. The best response by the nurse is: a. "A catheter will be placed in the skull to drain off any fluid on the b on will burr holes in the skull and remove a portion of it to allow to brain expansion." c. "A lumbar puncture will be performed to take out the extra cerebrospinal fluid." d. "The section of brain that is damaged will be removed." 12. The nurse is caring for a patient newly diagnosed with a glioblastoma. The nurse knows that this type of brain tumor is: a. Localized and benign b. Localized and easily removed during brain surgery c. Highly malignant and invasive d. Completely removed with surgery 13. A patient is diagnosed with hydrocephaly requiring a ventricular shunt be placed. The nurse knows the purpose of this shunt is to: a. Drain blood from the brain b. Shunt blood from the brain into the cerebral blood vessels c. Drain cerebrospinal fluid into the peritoneal cavity d. Drain cerebrospinal fluid coming from the ears 14. When admitting an acutely confused patient with a head injury, which action should the nurse take? a. Ask family members about the patient's health history b. Ask leading questions to assist in obtaining health data c. Wait until the patient is better oriented to ask questions d. Obtain only the physiologic neurologic assessment data 15. A patient with suspected meningitis is scheduled for a lumbar puncture. Before the procedure, the nurse will plan to: a. Enforce NPO status for 4 hours b. Transfer the patient to radiology c. Administer a sedative medication d. Assist the patient to a lateral position 16. The nurse recognizes that a patient having a Tensilon test is being worked up for: a. Multiple Sclerosis (MS) b. Amyotrophic Lateral Sclerosis (ALS) c. Myasthenia Gravis d. Guillaine Barre

Answer 1

Q. No. 11. Answer :

Is " d "

That is The section of brain that is damaged will be removed.

Because, the craniotomy is done for remove part of skull in order to relieve pressure where the brain damage and swell.

So the answer is " d ".

Q. No. 12. Answer :

Is " c " that is the glioblastoma is the highly malignant and invasive.

Because it is common type of malignant brain tumor among adults.

It is aggressive and it spreads quickly.

So the answer is " c ".

Q. No. 13. Answer : is " c " that is Drain cerebro spinal fluid into the peritoneal cavity.

Be in hydrocephalus there is an accumulation of cerebrospinal fluid in brain ventricles, so that enlargement of head occurs, to drain that extra CSF we will keep the ventriculo peritoneal shunt.

So that the answer is " c ".

Q. No. 15. Answer : is " a ".

Enforce nil per oral status for 4 hours that is before the Lumbar puncture.

Because during procedure we will give anesthesia it may leads to all organs get relaxed, so there is a chance to aspiration so we should keep NPO before any anesthesia giving proceedures.

So the Answer is " a ".

Q. No. 16. Answer : is " c ".

Tensilon test is used to detect " Myasthenia Gravis ".

In these test the patients muscle get stronger after injecting the " Tensilon " injection.

It indicates positive.

So the answer is " c ".