NUR 265 EXAM 3 LATEST UPDATE COMPLETE 200 QUESTIONS AND CORRECT ANSWERS WITH RATIONALES (LATEST UPDATE RATED A+) GALEN COLLEGE OF NURSING<\/p>\n\n\n\n
NUR 265 EXAM 3 LATEST UPDATE 2022-2023
COMPLETE 200 QUESTIONS AND CORRECT
ANSWERS WITH RATIONALES (LATEST UPDATE
RATED A+) GALEN COLLEGE OF NURSING
What is s\/s of AD? – ANSWER- severe hypertension
HA
bradycardia
nasal stuffiness
What are you at r\/f with AD? – ANSWER- skin breakdown
abd bleeding
diaphragm can become paralyzed
What n\/i do you do with AD? – ANSWER- treat cause
VAP prevention
cough assist them if needed
monitor cardio
IV fluids
monitor bp q 10-15mins
nitrate<\/p>\n\n\n\n
What are secondary sci causes? – ANSWER- hemorrhage
ischemia
hypovolemia
impaired tissue perfusion from neuro shock
local edema
What is hyperflexion? – ANSWER- like whiplash
What is hyperextension? – ANSWER- hits chin upward
What is axial loading or vertical compression? – ANSWER- hit top of
head or butt
What is excessive rotation? – ANSWER- turn head too far
What is penetrating trauma? – ANSWER- knife or bullet
How do you prevent secondary SCI? – ANSWER- stabilize the spine (c
coloar)
halo fixator
What needs to be assessed with a halo? – ANSWER- check pts skin
be able to do one finger check
neuro checks<\/p>\n\n\n\n
monitor for infection
make sure wrench is with them
can not drive
eat high fiber & fluids
baths
support head with small pillow
What are complications with a halo? – ANSWER- loose pins
local infection
scarring
What are complications with SCI? – ANSWER- breathing problems
cervical or high thoracic=spastic bowel & bladder
lower thoracic & lumboscaral=flaccid bowel & bladder
neuro shock
How is SCI dx’ed? – ANSWER- CT or MRI
What is ALS? – ANSWER- chronic, progressive degenerative disease
loss of upper and lower motor neurons
How long after dx of ALS? – ANSWER- usually die within 3 hrs<\/p>\n\n\n\n
What is highest priority with ALS if still able to eat? – ANSWERaspiration
What is tx for ALS? – ANSWER- there is no cure
comfort care is needed
interdisciplinary care
riluzole (just extends survival time)
Teaching w\/ riluzole? – ANSWER- take on empty stomach
look for s\/s of liver toxicity (vomiting\/jaundice)
What is trigeminal neuralgia? – ANSWER- compression or
inflammation of the 5th cranial nerve
What are s\/s of trigeminal neuralgia? – ANSWER- pain = sharp spasms
only on one side of face
How is trigeminal neuralgia dx? – ANSWER- ct scan
What are trigeminal neuralgia triggers? – ANSWER- light touch
change in facial expression
chewing
air blowing on face
hot drinks
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