Final Exam NR 325
"Acute" means that this leukemia can progress quickly if not treated, and would
probably be fatal in a few months. "Myeloid" refers to the type of cell this leukemia starts
from. - ANS-Acute myeloid leukemia (AML)
"white blood cells in the blood." They are non functional. Hyperproliferation -
ANS-Leukemia
40 mmHg - ANS-Intracranial pressure must be less than ______ to still have adequate
perfusion to brain
50 and 150 - ANS-Systolic must be between _____ and ________ to have adequate
perfusion to the brain
A patent airway - ANS-What is the first concern when a patient becomes unconscious?
Acute myeloid leukemia (AML), chronic myeloid leukemia (CML), acute lymphocytic
leukemia (ALL), chronic lymphocytic leukemia (CLL) - ANS-Classifications of leukemias
ADH (vasopressin) - ANS-What is given to patients with diabetes insipidus?
ADH (vasopressin), oxytocin, growth hormone, ACTH, thyroid stimulating hormone,
FSH, LH, prolactin - ANS-Functions of the endocrine glands
ALS, or amyotrophic lateral sclerosis, is a progressive neurodegenerative disease that
affects nerve cells in the brain and the spinal cord. The progressive degeneration of the
motor neurons in ALS eventually leads to their demise. - ANS-ALS
Begins for only a few second with a tonic episode (stiffening of the muscles) and loss of
consciousness. - ANS-Tonic-clonic seizure
Benzos may help but will also alter LOC and therefore it will be hard to tell what
interventions are helping and if the patient is having a change of status - ANS-Why not
give benzodyazapines to patient with head injury
bruising of the brain with tissue injury. Often happens with an acceleration/ decelleration
event - ANS-Contusion
, Can be caused by spinal cord injury. an imbalanced reflex sympathetic discharge,
leading to potentially life-threatening hypertension - ANS-Autonomic dysreflexia
Can cause a loss of consciousness or blackout for several minutes. Associated with
behaviors that the client is unaware of such as lip smacking or picking at clothing. -
ANS-Complex partial seizure
Cannot drink alcohol with anti-seizure medications. Lower pt to the ground. Place on
side. Loosen gown. Nothing around neck. Move objects that they can hurt themselves
on. Document. Offer blow by oxygen. - ANS-Nursing actions during seizure
CBC, bone marrow test, x-ray, CT, lumbar puncture - ANS-Diagnostic tests for acute
lymphocitic leukemia
CBC, bone marrow, analysis of an excess or immature leukocytes is hallmark diagnosis,
lumbar puncture - ANS-Diagnostic tests for acute myeloid leukemia
Characterized by a few seconds in which muscle tone is lost. Frequently results in
falling - ANS-Atonic or akinetic seizure
Chronic lymphocytic leukemia - ANS-Weight loss, fever, and night sweats are
characteristic of _______
Clients suddenly lose consciousness and experience sudden and increased muscle
tone, loss of consciousness, and autonomic manifestations (arrhythmia, apnea,
vomiting, incontinence, salvation). - ANS-Tonic seizure
Cold and clammy, shaky, diaphoretic, confusion, tachycardia - ANS-S/S of
hypoglycemia
Cold intolerance, constipation, weight gain, slower metabolism, fatigue, depression,
irritability - ANS-S/S of hypothyroidism
Conscious, locked in syndrome, persistent vegetative state (no cognition, have
sleep/wake cycles), akinetic mute syndrome (no purposeful movements, eyes open and
close refexively), Coma - ANS-Levels of consciousness
Consciousness is maintained throughout. - ANS-Simple partial seizure
Cushing's Reflex - ANS-If the body has increased ICP _______ will be triggered
