RNSG 2539 EXAM 3 - Cognition Latest Update 2023-

RNSG 2539 EXAM 3 - Cognition Latest Update 2023- 2024 Questions and Verified Correct Answers Guaranteed Success

- CORRECT ANSWER: *(bleeding between the dura mater and arachnoid layer of the

meninges)*

• slower to develop

*Acute*

• 24-48 hours after trauma
• Immediate deterioration
• Craniotomy, evacuation & decompression

*Subacute*

• 48 hr to 2 weeks after trauma
• Alteration in LOC as it develops
• Evacuation and decompression

*Chronic*

• Usually >20 days after trauma
• Injury seemed trivial or forgotten by patient
• Nonspecific. Alteration in LOC
• Evacuation and Decompression
• Membranectomy

Affective Symptoms of Schizophrenia - CORRECT ANSWER: Symptoms involving

emotions and their expression

Anticholinergic side effects of antipsychotic and antiparkinsonism drugs - CORRECT

ANSWER: - Dry mouth

• Urinary retention
• Constipation
• Blurred vision
• Dry eyes
• Inability to ejaculate
• Dilated pupils

Anticholinergic Toxicity - CORRECT ANSWER: dry mucous membranes; reduced or

absent peristalsis; mydriasis; nonreactive pupils; hot, dry, red skin; hyperpyrexia without diaphoresis; tachycardia; agitation; unstable vital signs; worsening of psychotic symptoms; delirium; urinary retention; seizure; repetitive motor movements

*HOLD MEDS. CONTACT HCP

PRN foley Benzos and sedatives given Cooling methods* 1 / 2

*Physostigmine may be ordered.*

Atypical Antipsychotics - CORRECT ANSWER: *BENEFITS*

• Little or no EPSs
• Treat positive and negative symptoms

*DOWNFALLS*

• Extreme weight gain

• Clozapine
• Risperidone
• Olanzapine
• Quetiapine
• Aripiprazole

Cerebral Oxygenation Monitoring - CORRECT ANSWER: *LICOX catheter*

-Normal PbtO2 is 20 to 40 mm Hg -Lower than 20 is indicative of ischemia

*Jugular venous bulb oximetry* Normal SjvO2 55%-75%

Clinical Manifestations of Encephalopathy - CORRECT ANSWER: *Asterixis (flapping tremors) is most common*

• Apraxia (inability to write/draw)
• Hyperventilation
• Hyperthermia
• Tongue fasciculations
• Grimacing
• Grasping reflexes

Clinical Manifestations of Fetor Hepaticus - CORRECT ANSWER: musty, sweet odor of the patient's breath

occurs in some patients with encephalopathy.

Clinical Manifestations of increased ICP - CORRECT ANSWER: *Change in LOC*

• Flattening affect
• Disorientation
• Decrease level of attention
• Coma
• Absent neuronal activity on EEG

*Vitals*

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