Deck 19: Neurological Accidents

Question 1

Which of the following respiratory patterns does not suggest the presence of a traumatic brain injury

A)Tachypnea
B)Cluster breathing
C)Eupneic
D)Apneustic
E)Cheyne-Stokes

Answer 1

C

Question 2

Patients with neurogenic pulmonary edema follow the same clinical manifestations as aspiration pneumonia.

Answer 2

False

Question 3

What is the most Common acute respiratory Complication associated with a spinal Cord injury

A)Pneumonia
B)Respiratory failure
C)Atelectasis
D)Pulmonary edema

Answer 3

C

Question 4

What are distinct signs of increased intracranial pressure
I)Hypertension
II)Bradycardia
III)Irregular respirations
IV)Colonic posturing
V)Contracting of limbs

A)I, II, III, and IV
B)I, III, and V
C)II, III, IV, and V
D)I, II, IV, and V

Question 5

What methods should be used to prevent aspiration in a child with a Glasgow Coma Scale sCore of 8 or less
I)Management of cerebral perfusion pressure
II)Rapid sequence intubation
III)Inhaled nitric oxide initially, followed by high positive pressure breaths to avoid aspiration
IV)Administration of benzodiazepine
V)Sellick maneuver

A)I, III, and V
B)I, II, III, IV, and V
C)II, III, and IV
D)II and V

Question 6

Neurogenic pulmonary edema is not a reversible process.

Question 7

Which of the following are patterns of primary injury for a traumatic brain injury
I)Subdural hematoma
II)Intraventricular hemorrhage
III)Intraparenchymal hemorrhage
IV)Cerebral Cortex hemorrhage
V)Epidural hematoma
VI)Skull fractures
VII)Cortex hemorrhage
VIII.Contusions

A)I, II, III, IV, V, and VI
B)I, II, III, V, VI, and VII
C)I, II, III, V, VI, and VIII
D)I, II, III, IV, V, VI, VII, and VIII

Question 8

What mechanical ventilation strategy should a registered respiratory therapist use when treating a patient with a traumatic brain injury

A)Normoventilation
B)Neuromuscular blockage
C)Hyperosmolar therapy
D)Rapid sequence intubation intervention

Question 9

Spinal Cord injuries are often deemed fatal when they occur at what specific level of the cervical vertebrae

A)C3-4-5
B)C5-6
C)C1-2
D)C7-8

Question 10

What is Considered the most effective initial strategy to acutely decrease intracranial pressure

A)Valsalva's maneuver
B)Supraventricular tachycardia ablation
C)Respiratory alkalosis
D)Metabolic acidosis
E)Inhaled nitrous oxide

Question 11

The interdisciplinary team should intervene as soon as a patient's intracranial pressure exceeds what level of pressure

A)10 mm Hg
B)15 mm Hg
C)20 mm Hg
D)30 mm Hg

Question 12

What ventilator setting should be adjusted to Counteract neurogenic pulmonary edema

A)Increase positive end-expiratory pressure.
B)Increase respiratory rate.
C)Decrease respiratory rate.
D)Manage operating pressures.

Question 13

What is the goal of neurogenic pulmonary edema management

A)Maintain oxygenation.
B)Avoid hypocarbia.
C)Maintain an intracranial pressure greater than 8 mm Hg.

Question 14

Neurogenic pulmonary edema is associated with what central nervous system insults
I)Traumatic brain injury
II)Intracranial tumors
III)Infection
IV)Guillain Barré syndrome
V)Myasthenia gravis
VI)Cervical spine injury

A)I, II, and III
B)III, IV, and VI
C)II, IV, and V
D)I, II, III, and VI

Question 15

Which of the following data suggest that a child with a spinal Cord injury is ready to be weaned from mechanical ventilation
I)Maximal inspiratory pressure of -3 to -5 cm H₂O
II)Tidal volume 3-5 mL/kg
III)SpO₂ greater than 95%
IV)Exhaled CO₂ 45-55 mm Hg
V)Hemodynamic instability

A)I, III, and IV
B)I, II, and III
C)II, IV, and V
D)I, II, III, IV, and V

Question 16

What are some noncranial injuries that affect the respiratory system
I)Bruising of lung during blunt force trauma
II)Aspiration pneumonia
III)Decreased fluid in the parenchyma
IV)Rib fracture
V)Torn diaphragm
A, I, III, and V
B)I, II, and IV
C)II, IV, and V
D)III, IV, and V

Question 17

Prolonged hyperventilation can result in a rebound effect on cerebral flow when PaCO₂ is restored.

Question 18

What tool assists health-care workers to predict future reCovery of a patient with a traumatic brain injury

A)Braden scale
B)Cushing triad
C)Spirometry testing
D)Glasgow Coma Scale
E)Monro-Kellie doctrine

Question 19

What evaluation tools are helpful in determining a long-term pulmonary strategy for patients with a spinal Cord injury
I)Modified barium swallow
II)Sleep studies
III)Abdominal binders
IV)Diaphragm pacing

A)I, II, and III
B)I and II
C)II, III, and IV
D)II and IV