Which of the following statements pertain to many patients ...

[olgavictoria]

Which of the following statements pertain to many patients receiving mechanical ventilation for traumatic brain injury? I. These patients tend to develop airway edema and alveolar inflammation secondary to direct brain injury. II. Patients with traumatic brain injury generally have normal pulmonary function. III. Quite often these patients develop neurogenic bronchoconstriction as a complication. IV. Frequently, these patients require airway maintenance.
 
  A. II onlyB. II, IV only
  C. I, III, IV only
  D. II, III, IV only

Question 2

A patient who has had traumatic brain injury enters the emergency department, and receives a Glasgow Coma Scale score of 6. What should the therapist do for this patient at this time?
 
  A. Provide oxygenation only.
  B. Oxygenate and maintain bronchial hygiene.
  C. Secure the airway, intubate, and mechanically ventilate.
  D. Secure the airway, oxygenate, and perform bronchial hygiene.

[Yixagurpuldink]

Answer to Question 1

ANS: B
A. Incorrect response: See explanation B.
B. Correct response: Many patients with traumatic brain injury tend to have normal pulmonary function, and require mechanical ventilation due to ventilatory depression secondary to trauma, and to maintain an adequate airway.
C. Incorrect response: See explanation B.
D. Incorrect response: See explanation B.

Answer to Question 2

ANS: C
A. Incorrect response: See explanation C.
B. Incorrect response: See explanation C.
C. Correct response: The Glasgow Coma Scale is based on three indicators of cerebral function: eye opening, verbal communication, and motor responses to verbal and noxious stimuli. The score ranges from 15 (best) to 3 (worst). A score of 8 or less for someone who has experienced traumatic brain injury indicates the need for securing the airway, intubation, and mechanical ventilation.
D. Incorrect response: See explanation C.

[olgavictoria]

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[Yixagurpuldink]

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