Finall Exam:l NRl 341l NR341l Latestl

Finall Exam:l NRl 341/l NR341l (Latestl

2026/l 2027l Update)l Complexl Adultl Healthl Guide|l Q/Al |l Gradel A|l 100%l Correctl (Verifiedl Answers)l -Chamberlain

Q:l Seizures:

Answer:

-l Abnormall electricall dischargel inl thel brain...partiall (simplel partiall orl complexl partial)...orl generalizedl seizures -l Statusl epilepticus...seizuresl inl closel proximityl tol onel anotherl thatl lastsl longerl thanl 30l minutes...twol orl morel withoutl fulll recoveryl isl indicativel ofl SE

Q:l Statusl Epilepticus:

Answer:

-l 20l tol 30l minutesl ofl continuousl seizurel activity -l Consecutivel seizuresl forl 20l tol 30l minutesl withoutl returnl tol consciousness -l Causes:l Knownl seizurel disorderl withl medicationl non-compliance,l nol historyl ofl seizures,l toxic/metabolicl eventsl thatl damagel cerebrall cortex -l S/S:l HTN,l tachycardia,l cardiacl arrythmias,l hyperglycemia,l hyperthermia,l lacticl acidosis,l andl possiblel irreversiblel neuronall destruction

Q:l Statusl Epilepticusl Nursingl Interventions:

Answer:

-l Stayl andl protectl patientl froml injury -l Airwayl andl O2 -l Neurol assessment -l Cardiacl monitoringl vial ECG -l Benzodiazepinesl -l FIRSTl LINEl DRUGS...Lorazepaml (Ativan)l isl thel drugl ofl choicel usuallyl asl al standingl order 1 / 4

-l Anticonvulsantsl tol stopl seizure:l phenytoin,l phosphenytoinl (Cerebyx)

-l Phenobarbitall isl whenl abovel drugsl arel notl effective,l givenl tol placel pt.l inl inducedl coma

Q:l Acutel Stroke:

Answer:

-l 3rdl Leadingl Causel ofl Deathl inl US -l Hemorrhagicl (ICHl andl SAH)l v.l Ischemial (vial Afib/Aflut)l -l TIMEl ISl ONl THEl ESSENSE...TIMEl =l TISSUE

Q:l Acutel Strokel (cont.):

Answer:

-l Timel isl Brain!-l Doorl tol Docl =l 10l minutes -l Accessl tol neurologicall expertisel =l 15l minutes -l Doorl tol CTl completionl (1stl Prio)l =l 25l minutes -l Doorl tol CTl interpretl =l 45l minutes -l Doorl tol treatmentl =l 60l minutes -l Admissionl tol monitoredl bedl =l 3l hours -l Goall =l TPAl withinl 3l hoursl ofl onsetl ofl symptomsl withl Ischemicl Strokes

Q:l BEl FAST:

Answer:

-l Balance -l Eyes -l Face -l Arms -l Speech -l Timel tol Calll 911

Q:l Leftl vl Rightl Stroke: 2 / 4

Answer:

-l Left:l languagel problemsl (aphasia),l numbers,l writing,l understanding

-l Right:l attentionl span,l neglectl (impulsiveness),l denial,l andl visual/spatial

Q:l CNSl Infectionsl -l Bacteriall Meningitis:

Answer:

-l Triad:l headache,l stiffl neck,l andl fever

-l Symptomsl ofl meningeall irritation -l Photosensitivity -l Craniall nervel palsies -l Focall neurologicall signs -l Seizures -l Increasedl ICP -l Kernig'sl andl Brudzinski'sl Signs

Q:l Kernig'sl Test:

Answer:

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Q:l Brudinski'sl Test:

Answer:

-l Flexionl ofl thel neckl causesl involuntaryl flexionl ofl thel knee

Q:l Meningitisl Medical/Nursingl Management:

Answer:

-l Appropriatel antibiotic -l Steroidsl mayl bel usedl tol reducel neurotoxicl effectsl likel dexamethasonel isl usuallyl thel drugl ofl choice -l Isolationl precautionsl atl Droplet -l Avoidl situationsl thatl increasel ICP...nursel shouldl elevatel HOBl 30-45l degrees,l avoidl Valsalval maneuvers,l preventl coughing,l andl avoidl hypotension -l Promotionl ofl pt.l comfort -l Maintainl normall bodyl temperature -l Diml lights -l Seizurel precautions

Q:l Autonomicl Dysreflexia:

Answer:

-l Spinall cordl injuryl atl T-6l orl higher -l Triggeredl byl sustainedl stimulil atl T-6l orl belowl from:l restrictivel clothing,l fulll bladder/UTI,l pressurel areas,l orl fecall impaction

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