Hope has to do a neurologic check on her client with a subarachnoid hematoma. She was told in shift report the client has a neurologic deficit
a. What are the three phases of a neurologic deficit?
b. Give examples of each phase.
c. How they are treated medically?
Students' answers should include the following:
a. Acute, chronic, and recovery phases
b. Acute phase client is critically ill; example would be CVA.
Chronic phase is long lasting; disorders such as ALS and Alzheimer's; prolonged or lifelong
Recovery phase begins after client is stabilized.
c. Treatment for the acute phase would be hypotensives, respiratory support, and removing of blood clot, if needed.
Neurologic assessment, vital signs monitored, basic rehabilitation, prevention of skin breakdown, and physical therapy
In the chronic phase, little to no expected improvement; physical and psychological rehabilitation and therapy for prevention of complications
Recovery phase—the treatment aims at prevention and treating any complications that may have risen; rehabilitation is part of this phase.
You might also like to view...
What is the therapeutic action of the phenothiazines in reducing nausea?
A) Increasing gastric motility B) Change responsiveness of the chemoreceptor trigger zone (CTZ) C) Blocking histamine receptors D) Producing sedation
Intravenous dantrolene 2 mg/kg is prescribed for preoperative prophylaxis for a patient with a history of malignant hyperthermia. The patient weighs 132 lb. How many milligrams will the nurse administer? _____ mg
Fill in the blank(s) with correct word
You are the nurse preparing to give a child a dose of digoxin. Before giving the digoxin, you would first check the apical pulse, and you would also be most interested in making sure which of the following levels were within normal?
a. red blood cell count c. potassium levels b. chloride levels d. platelet
The statement "Ongoing collection of data" best describes which phrase of the nursing process?
A. Planning B. Evaluation C. Assessment D. Implementation