NEUROLOGY
HEMIPARESIS
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Question
[CLICK ON ANY CHOICE TO KNOW THE RIGHT ANSWER]
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Positioning the patient on his or her side with head flexed forward
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Loosening constrictive clothing
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Restraining the patient to avoid self injury
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Opening the patient’s jaw and inserting a mouth gag
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Providing for privacy
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Detailed explanation-1: -In most patients with intracranial hypertension, head and trunk elevation up to 30 degrees is useful in helping to decrease ICP, providing that a safe CPP of at least 70 mmHg or even 80 mmHg is maintained.
Detailed explanation-2: -Activities that can increase ICP should be avoided. These activities include suctioning, coughing, vomiting, and compression of jugular veins. Patient care should not be clustered, as this may also cause an increase in ICP. A ventriculostomy can be used to continuously monitor a patient’s intracranial pressure.
Detailed explanation-3: -Every brain injury is different, but generally, brain injury is classified as: Severe: GCS 8 or less. Moderate: GCS 9-12. Mild: GCS 13-15.
Detailed explanation-4: -Children ages 1–4 have the highest drowning rates. Most drownings in children 1–4 happen in swimming pools.