Stroke Certified Registered Nurse (SCRN) Practice Exam

Question: 1 / 400

What neurological assessment could indicate deterioration in a patient with a cavernous angioma?

Increased appetite

Decreased visual acuity

Hypotension

Confusion and disorientation

Deterioration in a patient with a cavernous angioma can often manifest through confusion and disorientation, which are indicative of cognitive changes. Cavernous angiomas can lead to hemorrhagic events or increased intracranial pressure, resulting in neurological deficits. As these lesions may affect different areas of the brain, alterations in mental status, including confusion, disorientation, or changes in alertness, serve as critical warning signs of worsening pathology.

This neurological assessment is particularly significant because it suggests that the brain is experiencing some kind of insult or compromise, whether from direct pressure effects of the angioma, changes in blood flow, or complications such as bleeding. Monitoring for these cognitive changes is essential for timely intervention, as they can guide the assessment of the patient’s overall neurological health and dictate further management strategies.

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