Examl 2:l NRl 325/l NR325l (Latestl 2026/l
2027l Update)l Adultl Healthl IIl Review|l Q/Al |l Gradel A|l 100%l Correctl (Verifiedl Answers)l -Chamberlain
Q:l Ifl clearl fluidl isl comingl outl ofl thel nosel orl earsl afterl al brainl injury,l whatl couldl thisl signify?
Answer:
CSFl isl leaking;l gol tol ERl
-l CSFl givesl al positivel readingl onl al glucosel strip -l ifl bleedingl asl well,l usel al gauzel pad,l ifl bloodl movesl tol center,l andl al yellowishl ringl encirclesl thel blood,l CSFl isl present
Q:l -l lastsl 3l tol 5l minutesl
-l tonicl phasel -->l stiffeningl -l clonicl phasel -->l jerkingl movementsl
Nursingl management:
-l STAYl WITHl PATIENT -l easel patientl tol thel floor,l placel onl sidel -l loosenl restrictivel clothing -l DOl NOTl RESTRAINl THEl PATIENTl -l timel thel seizurel -l MONITORl AIRWAY -l dol notl putl anythingl inl patient'sl mouthl -l reorientl patientl afterl seizure
Triggers:
-l stress -l flashingl lightsl 1 / 4
Diagnosticl studies:
-l EEG
Answer:
tonicl clonicl seizure
Q:l Riskl factors: -l smoking -l obesityl -l lackl ofl exercise -l previousl TIAl -l afibl
Manifestationsl -l hemiparesisl (weaknessl onl onel sidel ofl thel body)l -l hemiplegial (paralysisl onl onel sidel ofl thel body) -l faciall droop -l changel inl LOC -l dysarthria,l aphasia -l visuall disturbances -l dizziness -l ataxia -l severel headachel (inl hemorrhagic)
Answer:
stroke
Q:l Canl TPAl bel givenl forl patientsl whol hadl al hemorrhagicl stroke?
Answer: 2 / 4
NOl ONLYl ISCHEMICl STROKE!l Itl breaksl downl thel clotl thatl causedl thel stroke.l Ifl givenl tol patientsl whol hadl al hemorrhagicl stroke,l morel bleedingl willl occur.
Q:l Whatl strokel patientl hasl al severel headache?l hemorrhagicl orl ischemic?
Answer:
hemorrhagic
Q:l -l significantl safetyl concerns
-l doesn'tl understandl theyl justl hadl al stroke
Manifestations:
-l leftl sidel hemiparesisl -l leftl sidel homonymousl hemianopsial (leftl sidel visuall defects) -l impulsivel -l impairedl judgementl andl timel perceptionl -l shortl attentionl span
Answer:
rightl CVA
Q:l -l highlyl emotionall andl awarel ofl theirl neurologicl deficits
Manifestations:
-l rightl sidel hemiparesisl -l rightl sidel homonymousl hemianopsial (rightl sidel visuall defects) -l emotional,l depressed -l aphasia -l difficultyl reading,l writing,l orl calculating -l slowl performance
- / 4
Answer:
leftl CVA
Q:l Whatl isl thel treatmentl forl al hemorrhagicl stroke?
Answer:
-l removel hematomal -l clipl bloodl vessel -l keepl bloodl pressurel lower
Q:l Precautions: -l oxygenl equipmentl atl bedside -l suctionl atl bedside -l sidel railsl paddedl -l bedl inl lowestl positionl
Safetyl considerationsl andl education:
-l takel medicationl everyday -l dol notl doublel dosel -l reportl sidel effects -l havel drugl levelsl tol ensurel therapeuticl level -l getl plentyl ofl sleep,l dol notl overl fatiguel -l stayl welll hydratedl andl eatl al healthyl dietl -l avoidl recreationall drugsl andl alcohol -l avoidl bright,l flashingl lights -l dol notl swiml orl takel bathsl alone -l nol heavyl machineryl -l wearl medicall IDl band
Answer:
seizurel precautionsl andl safetyl considerations
- / 4