Which is untrue about BiPAP:

is safe to use an any patient with impending respiratory faliure

What's NOT true about EVDs?

nurses level them to the tip of the nose

Advantages of arterial lines are ALL but:

requires monitoring and documentation q SHIFT

Why would a femoral sheath be left in situ?

patient likely to require repeat angiography

Patients who are candidates for thrombolysis in acute stroke:

have a LSN of less than 4.5 hours

Which is incorrect about ICP?

when monitoring ICP, document once a shift

are always transduced with alarms on

Which of the following is NOT true about EVDs:

are the same as an externalized shunt

When an arterial line is insitu, it must be levelled to:

the 4th intercostal space and midaxillary line

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CNS Level II EVD/ICP/Hemo

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Questions 17

Answers

1
Which is untrue about BiPAP:
is safe to use an any patient with impending respiratory faliure
requires a patient to be continuously monitoring for 02 sat & RR
one form of non invasive ventilation
requires droplet & contact precautions
2
Norepienphrine, lebatolol and phenylephrine are all drugs nursing may titrate, if ordered
True
False
3
What's NOT true about EVDs?
always need to be clamped when patient mobilizes (unless ordered otherwise)
the tip is located in the anterior horn of the lateral ventricle
nurses level them to the tip of the nose
must be set up to ordered height (in cmH2o)
4
Advantages of arterial lines are ALL but:
better accuracy than cuff pressures
easy, painless blood sampling
continuous blood pressure monitoring & reading
requires monitoring and documentation q SHIFT
5
a patient will fail their dysphagia screen if:
they have had an ischemic stroke
they have tongue symmetry
they have a GCS of 15
they have a facial weakness
6
Why would a femoral sheath be left in situ?
they are always left in post angiography
for easy drawing of blood work
patient likely to require repeat angiography
blood pressure monitoring
7
Nursing management for a post op acoustic neuroma includes:
all of the above
speak distinctly
treat pain & nausea
eye drops at HS
8
Patients who are candidates for thrombolysis in acute stroke:
have had a recent surgery
have an ICH on CT
have a LSN of less than 4.5 hours
are on DOACs
9
Which is incorrect about ICP?
it is a measure of pressure of CSF inside the ventricles
ICP measurements are obtained through an EVD
when monitoring ICP, document once a shift
normal ICP is 0 - 10 (or 15)
10
Femoral sheaths:
are removed by the nurses
are always transduced with alarms on
require no special nursing care
are primarily used for bloodwork
11
lebatolol is commonly used in patients with sub arachnoid hemorrhage
True
False
12
milrinone (at specific doses) works vasodilate cerebral vasculature
False
True
13
Which of the following is NOT true about EVDs:
require a number of components of assessment to documented hourly
can be used to obtain CSF sample
are commonly inserted in patient's who have SAH & vasospasm
are the same as an externalized shunt
14
Heart rate x Stroke Volume =
Preload
Cardiac Output
MAP
perfusion pressure
15
The most straightforward way to reduce ICP is:
lay HOB flat
insert an EVD
ensure NOT to hyperventilate
3% saline
16
the main feeder arteries that supply the brain with blood supply are:
vertebral and carotid
aorta and subclavian
internal and external carotid
middle cerebral and posterior cerebral
17
When an arterial line is insitu, it must be levelled to:
external auditory meatus
same height as the bed
the left atrium
the 4th intercostal space and midaxillary line

CNS Level II EVD/ICP/Hemo Flashcards | StudBud