Exam 2: NSG233/ NSG 233 (Latest 2023/ 2024 Update) Med Surg 3 Exam| Questions and Verified Answers| 100% Correct| Grade A- Herzing
Exam 2: NSG233/ NSG 233 (Latest 2023/
2024 Update) Med Surg 3 Exam| Questions
and Verified Answers| 100% Correct| Grade
A- Herzing
Q: Pushes the painful stimulus away
Answer:
Expected response to painful stimulus in motor function assessment.
Q: Adjust the client’s head of bed
Answer:
Action to maintain cerebral perfusion pressure in severe traumatic brain injury.
Q: Reduce edema of the brain
Answer:
Purpose of administering osmotic diuretic to client with increased intracranial pressure.
Q: Extension of the arms
Answer:
Expected finding in decerebrate posturing.
Q: Elevate the head of the bed
Answer:
Intervention to promote reduction of intracranial pressure.
Q: Use pillows to keep heels off the bed surface
Answer:
Nursing action to prevent skin breakdown in client with spinal cord injury and paralysis.
Q: Nuchal rigidity
Answer:
Manifestation of increased intracranial pressure in client with suspected bacterial meningitis.
Q: Brisk pupillary reaction to light
Answer:
Expected finding in infant with motor vehicle crash and increased intracranial pressure.
Q: Paraplegia
Answer:
Type of disability associated with spinal cord injury at T2-T3 vertebrae.
Q: Pacemaker spikes before each QRS complex
Answer:
Indication of proper functioning of ventricular pacemaker.
Q: Hypotension
Answer:
Adverse effect of verapamil, a calcium channel blocker.
Q: Atrial fibrillation
Answer:
Dysrhythmia characterized by rapid and irregular heart rate with no visible P waves.
Q: Pacemaker spikes before each QRS complex
Answer:
Indication of proper functioning of ventricular pacemaker.
Q: Defibrillation
Answer:
Priority action for client with ventricular fibrillation.
Q: Irregular pulsations
Answer:
Finding on auscultation of apical pulse in client with premature ventricular contractions.
Q: Ventricular fibrillation
Answer:
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Glasgow Coma Scale
A scale used to assess level of consciousness in clients with traumatic brain injury.
Diplopia
Double vision, indicating a risk for damage to the optic tract.
Heart rate
Indicator of increasing intracranial pressure in clients with traumatic brain injury.
Ataxia
Loss of coordination, indicating a risk for brainstem or cerebellar injury.
Tachycardia
Sign of increased intracranial pressure in clients with traumatic brain injury.
Amnesia
Loss of memory, not indicating increased intracranial pressure.
Hypotension
Sign of increased intracranial pressure in clients with traumatic brain injury.
Restlessness
Sign of increasing intracranial pressure, along with irritability and confusion.
Decreased level of consciousness
Manifestation of increased intracranial pressure, along with severe headache and unreactive pupils.
Tachypnea
Sign of increasing intracranial pressure, with decreased respiratory rate.
Bilateral weakness of extremities
Early manifestation of increased intracranial pressure.
Mannitol 25%
Osmotic diuretic used to lower intracranial pressure.
Pushes the painful stimulus away
Expected response to painful stimulus in motor function assessment.
Adjust the client’s head of bed
Action to maintain cerebral perfusion pressure in severe traumatic brain injury.
Reduce edema of the brain
Purpose of administering osmotic diuretic to client with increased intracranial pressure.
Extension of the arms
Expected finding in decerebrate posturing.
Elevate the head of the bed
Intervention to promote reduction of intracranial pressure.
Use pillows to keep heels off the bed surface
Nursing action to prevent skin breakdown in client with spinal cord injury and paralysis.
Nuchal rigidity
Manifestation of increased intracranial pressure in client with suspected bacterial meningitis.
Brisk pupillary reaction to light
Expected finding in infant with motor vehicle crash and increased intracranial pressure.
Paraplegia
Type of disability associated with spinal cord injury at T2-T3 vertebrae.
Pacemaker spikes before each QRS complex
Indication of proper functioning of ventricular pacemaker.
Hypotension
Adverse effect of verapamil, a calcium channel blocker.
Atrial fibrillation
Dysrhythmia characterized by rapid and irregular heart rate with no visible P waves.
Pacemaker spikes before each QRS complex
Indication of proper functioning of ventricular pacemaker.
Defibrillation
Priority action for client with ventricular fibrillation.
Irregular pulsations
Finding on auscultation of apical pulse in client with premature ventricular contractions.
Ventricular fibrillation
ECG finding in client with sudden onset of irregular palpitations, fatigue, and dizziness.
To reduce the risk of stroke in clients who have atrial fibrillation
Purpose of administering dabigatran to client with atrial fibrillation.
The client experiences sudden weakness of one arm and leg
Priority finding in client with atrial fibrillation receiving heparin.
Irregular
Pulse characteristic in client with atrial fibrillation.
To reduce the risk of stroke in clients who have atrial fibrillation
Purpose of administering dabigatran to client with atrial fibrillation.
The client experiences sudden weakness of one arm and leg
Priority finding in client with atrial fibrillation receiving heparin.
Irregular
Pulse characteristic in client with atrial fibrillation.
To reduce the risk of stroke in clients who have atrial fibrillation
Purpose of administering dabigatran to client with atrial fibrillation.
The client experiences sudden weakness of one arm and leg
Priority finding in client with atrial fibrillation receiving heparin.
Irregular
Pulse characteristic in client with atrial fibrillation.
To reduce the risk of stroke in clients who have atrial fibrillation
Purpose of administering dabigatran to client with atrial fibrillation.
The client experiences sudden weakness of one arm and leg
Priority finding in client with atrial fibrillation receiving heparin.
Irregular
Pulse characteristic in client with atrial fibrillation.
To reduce the risk of stroke in clients who have atrial fibrillation
Purpose of administering dabigatran to client with atrial fibrillation.
The client experiences sudden weakness of one arm and leg
Priority finding in client with atrial fibrillation receiving heparin.
Irregular
Pulse characteristic in client with atrial fibrillation.
To reduce the risk of stroke in clients who have atrial fibrillation
Purpose of administering dabigatran to client with atrial fibrillation.
The client experiences sudden weakness of one arm and leg
Priority finding in client with atrial fibrillation receiving heparin.
Irregular
Pulse characteristic in client with atrial fibrillation.
To reduce the risk of stroke in clients who have atrial fibrillation
Purpose of administering dabigatran to client with atrial fibrillation.
The client experiences sudden weakness of one arm and leg
Priority finding in client with atrial fibrillation receiving heparin.
Irregular
Pulse characteristic in client with atrial fibrillation.
To reduce the risk of stroke in clients who have atrial fibrillation
Purpose of administering dabigatran to client with atrial fibrillation.
The client experiences sudden weakness of one arm and leg
Priority finding in client with atrial fibrillation receiving heparin.
Irregular
Pulse characteristic in client with atrial fibrillation.
To reduce the risk of stroke in clients who have atrial fibrillation
Purpose of administering dabigatran to client with atrial fibrillation.
The client experiences sudden weakness of one arm and leg
Priority finding in client with atrial fibrillation receiving heparin.
Irregular
Pulse characteristic in client with atrial fibrillation.
To reduce the risk of stroke in clients who have atrial fibrillation
Purpose of administering dabigatran to client with atrial fibrillation.
The client experiences sudden weakness of one arm and leg
Priority finding in client with atrial fibrillation receiving heparin.
Irregular
Pulse characteristic in client with atrial fibrillation.
To reduce the risk of stroke in clients who have atrial fibrillation
Purpose of administering dabigatran to client with atrial fibrillation.
The client experiences sudden weakness of one arm and leg
Priority finding in client with atrial fibrillation receiving heparin.
Irregular
Pulse characteristic in client with atrial fibrillation.
To reduce the risk of stroke in clients who have atrial fibrillation
Purpose of administering dabigatran to client with atrial fibrillation.
The client experiences sudden weakness of one arm and leg
Priority finding in client with atrial fibrillation receiving heparin.
Irregular
Pulse characteristic in client with atrial fibrillation.
To reduce the risk of stroke in clients who have atrial fibrillation
Purpose of administering dabigatran to client with atrial fibrillation.
The client experiences sudden weakness of one arm and leg
Priority finding in client with atrial fibrillation receiving heparin.
Irregular
Pulse characteristic in client with atrial fibrillation.
To reduce the risk of stroke in clients who have atrial fibrillation
Purpose of administering dabigatran to client with atrial fibrillation.
The client experiences sudden weakness of one arm and leg
Priority finding in client with atrial fibrillation receiving heparin.
Irregular
Pulse characteristic in client with atrial fibrillation.
To reduce the risk of stroke in clients who have atrial fibrillation
Purpose of administering dabigatran to client with atrial fibrillation.
The client experiences sudden weakness of one arm and leg
Priority finding in client with atrial fibrillation receiving heparin.
Irregular
Pulse characteristic in client with atrial fibrillation.
To reduce the risk of stroke in clients who have atrial fibrillation
Purpose of administering dabigatran to client with atrial fibrillation.
The client experiences sudden weakness of one arm and leg
Priority finding in client with atrial fibrillation receiving heparin.
Irregular
Pulse characteristic in client with atrial fibrillation.
To reduce the risk of stroke in clients who have atrial fibrillation
Purpose of administering dabigatran to client with atrial fibrillation.
The client experiences sudden weakness of one arm and leg
Priority finding in client with atrial fibrillation receiving heparin.
Irregular
Pulse characteristic in client with atrial fibrillation.
To reduce the risk of stroke in clients who have atrial fibrillation
Purpose of administering dabigatran to client with atrial fibrillation.
The client experiences sudden weakness of one arm and leg
Priority finding in client with atrial fibrillation receiving heparin.
Irregular
Pulse characteristic in client with atrial fibrillation.
To reduce the risk of stroke in clients who have atrial fibrillation
Purpose of administering dabigatran to client with atrial fibrillation.
The client experiences sudden weakness of one arm and leg
Priority finding in client with atrial fibrillation receiving heparin.
Irregular
Pulse characteristic in client with atrial fibrillation.
To reduce the risk of stroke in clients who have atrial fibrillation
Purpose of administering dabigatran to client with atrial fibrillation.
The client experiences sudden weakness of one arm and leg
Priority finding in client with atrial fibrillation receiving heparin.
Irregular
Pulse characteristic in client with atrial fibrillation.
To reduce the risk of stroke in clients who have atrial fibrillation
Purpose of administering dabigatran to client with atrial fibrillation.
The client experiences sudden weakness of one arm and leg
Priority finding in client with atrial fibrillation receiving heparin.
Irregular
Pulse characteristic in client with atrial fibrillation.
To reduce the risk of stroke in clients who have atrial fibrillation
Purpose of administering dabigatran to client with atrial fibrillation.
The client experiences sudden weakness of one arm and leg
Priority finding in client with atrial fibrillation receiving heparin.
Irregular
Pulse characteristic in client with atrial fibrillation.
To reduce the risk of stroke in clients who have atrial fibrillation
Purpose of administering dabigatran to client with atrial fibrillation.