Exam (elaborations)

NUR 325 Exam 1 Questions and Complete Solutions

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Course
NUR 325

Institution
NUR 325

Antiseizure drugs Drug that cause osteomalacia in patients Phenothiazines Drugs that cause gait disturbances in patients Corticosteroids Drugs that cause avascular necrosis, and decreased bone and muscle mass 1. Surgery and treatments (hospitalizations, etc): know details 2. Medications 3. Past ...

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nur 325 exam 1 questions and complete solutions
antiseizure drugs drug that cause osteomalacia in
phenothiazines drugs that cause gait disturbances

Institution NUR 325
Course NUR 325

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NUR 325 Exam 1 Questions and
Complete Solutions
Antiseizure drugs ✅Drug that cause osteomalacia in patients

Phenothiazines ✅Drugs that cause gait disturbances in patients

Corticosteroids ✅Drugs that cause avascular necrosis, and decreased bone and
muscle mass

1. Surgery and treatments (hospitalizations, etc): know details
2. Medications
3. Past health history (osteoporosis, falls, etc) ✅What important health information
(subjective data) should be asked in an MS assessment?

Potassium-depleting diuretics ✅Drugs that cause muscle cramps and weakness in
patients

Patients with sciatica or leg pain ✅Who is the straight leg test done on?

Supine
60 ✅In the straight leg test, the patient is in __________ position and the leg is raised
______ degrees or less

Intervertebral disk prolapse and herniation, particularly at the level of L4-5 or L5-S1.
✅A positive straight leg test indicates nerve root irritation from what?

Nucleus pulposus ✅In a diskogram, an X-ray of cervical or lumbar intervertebral disk is
done after injecting contrast media into the ____________ ____________

1) iodine allergy (shellfish)
2) pregnancy (high radiation) ✅2 contraindications for CT scans

Yes
No (injections to see nerves) ✅are CT scans painless?
Are myelograms painless?

1. Injections may hurt
2. Headache may occur after procedure but should resolve in 1-2 days with rest and
fluids but should be reported to HCP. ✅2 warnings for patients with myelograms?

,1-2 ✅myelogram headache may be healed in how many days with rest and fluids?
Either way, contact HCP

Aneurysm clips, metallic implants, pacemakers, hearing aids, and shrapnel. ✅MRI
contraindications

1. Loud tapping noises intermittently
2. No metal in clothing (ensure this yourself)
3. Be still
4. Claustrophobia ✅Warn MRI patients that (4T):

Yes if indicated and ordered ✅is it okay to give MRI patients antianxiety drugs before
MRI?

Osteomyelitis, bone cancer, fractures
Avascular necrosis ✅In a bone scan, a radioisotope is injected to be taken up by bone.
What may be happening if increased uptake occurs? Decreased uptake may indicate
what?

18-24 hours ✅CRP levels in high levels how many hours later after inflammation?

MRI ✅which takes longer to complete, MRI or CT?

CT ✅Which imaging diagnostic tool is used to detect hemorrhage, tumor, cyst, edema,
infarction, brain/muscle atrophy, etc?

Electromyogram (EMG) ✅Avoid stimulants including caffeine and sedatives 24 hr
before which procedure?

Tricyclic antidepressants, antiseizure drugs, and α2-adrenergic agonists. ✅What are
the three adjuvant therapies mentioned in the key points?

Nausea, vomiting, pruritus ✅Common side effects of opioids are constipation,
respiratory depression, sedation, and which THREE other things?

True ✅T or F: For patient with chronic pain, assist patient to plan the distribution of a
specific total dose of analgesic over a 24-hour period

Osteomalacia and hypoparathyroidism ✅Decreased serum levels of calcium indicate
two conditions:

Bone tumor or hyperparathyroidism ✅Increased level of serum calcium in which two
conditions

, Progressive muscular dystrophy, polymyositis, and traumatic injuries. ✅Increased
levels of CK indicates which 3 conditions?

Facial nerve CN VII ✅What CN is being tested: testing the mouth for taste sensations.

CN V Trigeminal ✅What CN is being tested: testing the strength of muscle contraction
by asking the client to clench their teeth while the nurse palpates the masseter and
temporal muscles, and then the temporomandibular joint.

CN VII ✅which nerve is being tested: involves testing for a range of facial expressions
by having the client smile, raise their eyebrows, puff out the cheeks, and perform other
facial movements

CN V trigeminal ✅which nerve is being tested: testing light touch by having the client
tell the nurse when they feel a gentle touch on the face from a wisp of cotton.

3 years or younger ✅Pull auricle down and back for children of what age?

- slightly down and forward as if pointing at nose ✅Insert the speculum of the otoscope
in which direction?

1-1.5cm
Don't touch ear canal (sensitive) ✅The speculum of the otoscope must be inserted ___
cm. Be sure not to do what?

Cone because of the angle of the ear canal ✅The tympanic membrane will appear like
a cone or circle?

Cyanosis ✅which of the following findings should the nurse recognize as requiring
immediate intervention?
Cyanosis
Erythema
Jaundice

C ✅A nurse is assessing a client who is complaining of a severe headache. Which
clinical manifestation is the earliest and most sensitive indicator of neurologic status
change?
A. Change in vital signs
B. Change in skin color
C. Change in level of consciousness
D. Change in respiratory pattern

3 or less ✅Capillary refill should take how many seconds?

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