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NUR 176 Final Exam|129 Q’s and A’s
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NUR 176 Final Exam|129 Q’s and A’s
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NUR 176 Final Exam|129 Q’s and A’stonic-clonic (grand mal) - -seizure characterized by unconsciousness with
excessive motor activity and the body alternating between excessive muscle
tone with rigidity (tonic) and involuntary muscular contractions (clonic) in the
extremities
-myoclonic seizure - -sudden jerk of the body or extremities; usually
focused on one area of the body
-absent seizures - -brief LOC; blank stare, stopping mid conversation;
picking up conversation where left off
-What is the priority intervention for seizures? - -Airway is most important;
safety comes next
-Seizure medications - -Dilantin, Tegretol, Keppra, Depakote; have
therapeutic levels
-cellulitis s/s - -redness, swelling, area warm to touch, pain, induration,
may or may not be weeping of tissue
-You are doing care for a patient with cellulitis, what kind of things would
you do for this patient? - -Antibiotics (penicillin, cephalexin), pain
medications, protect from secondary infections, elevatelegs to decrease
swelling, patient education on nail care
-If you have a patient with cellulitis - -mark around the area to gauge how
far the spread of bacteria is
-DVT s/s - -unilateral edema, pain, warmth, erythema, numbness, fullness
-Sepsis s/s - -rapid onset of chills and high fever, vomiting, diarrhea,
hypotension, shock, high HR
-You have a 5 year old patient and you are looking at their scalp. You notice
nits and white oval dots in their hair. What would you anticipate them
having? - -Lice
-How would you treat a patient for lice? - -adults and children over 2 years
use RID shampoo; pregnant or under 2 years of age use petroleum jelly,
mayonnaise; use nit comb
, -You are assessing a patient suspected of having scabies. What would you
anticipate that looking like? - -brown dots all over skin, linear burrows on
skin, brown crust; severe itching
-What type of treatment or interventions do you use for scabies? - -
permethrin cream; contact isolation; wash clothes in hottest setting; check
family members; notify anyone who has had contact with patient
-RA s/s - -bilateral pain and swelling in fingers and joints with stiffness in
morning, finger joints are erythematous and warm to touch
-Risk factors for RA - -Sex (F), Age (40-60), family history, presence of HLA-
DR4, smoking and viral/bacterial infections
-treatment for RA - -Methotrexate, NSAIDS, steroids; warm pack, warm
shower, warm washclothes
-Methotrexate - -take bp and pulse; used for ectopic pregnancies, eczema,
RA and Crohn's disease
-ABCD's of skin cancer - -asymmetry, border irregularity, color, diameter
-Risk factors for skin cancer - --Family history
-Prolonged sun exposure
-Fair skin
-Sun burns
-Red hair
-Blue eyes
-Multiple freckles
-Patient education for patients with higher risk of developing skin cancer - -
stay in the shade; don't go out in the hottest/brightest hours of the day; wear
clothing that covers arms and legs; wear a hat with a wide brim; use broad
spectrum sunscreen
-How often should a patient check their moles for changes? - -once a month
-Anaphylaxis s/s - --Itching
-Hives
-swelling
-flushing
-warm tingling
-tightness in throat and chest
-cough
-rapid, labored, noisy breathing
-hoarseness
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