Disorders Of The Central Nervous System (CNS)
You are preparing to work as a nurse in the neurology unit. The preceptor informs you to be prepared to discuss the following topics as they are commonly seen on the unit. In order to prepare, choose one of the following 4 topics below of interest as your initial discussion posting. Use this course’s resources and one evidenced-based article to explore the topic of your choice.
How do you assess a client when the nurse suspects onset of CVA?
Provide discharge information for a client with mild TBI.
Discuss surgical management of brain tumors.
Describe postoperative complications of a craniotomy.
When responding to the initial posting, provide an evidence-based article to support your response. Respond to two other topics different than your initial topic with a reference.
Sample Solution
A cerebrovascular accident, more commonly known as a “stroke,” is broadly classified as either ischemic or hemorrhagic. In either category, the result is a loss of blood flow, nutrients, and oxygen to a region of the brain, resulting in neuronal damage and subsequent neurological deficits. There are numerous causes of stroke, such as prolonged hypertension, arteriosclerosis, and emboli, that have formed as a result of atrial fibrillation or rheumatic fever (see images 2 and 3). In younger patients, the possible list of causes may be broadened to include clotting disorders and various forms of vasculitis. Patients with suspected acute stroke should undergo an assessment of heart rate and rhythm, blood pressure, temperature, oxygen saturation, point-of-care glucose, and presence of seizure activity [Strong recommendation; High quality of evidence].
