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NR341 Adult Complex Health Final Exam: Questions With Solutions (Pass!)
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NR341 Adult Complex Health Final Exam: Questions With Solutions (Pass!)
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NR341 Adult Complex Health Final Exam: QuestionsWith Solutions (Pass!)
What are symptoms of a stroke, brain attack, and CVA? Right Ans -
*Headache
*Confusion
*Seizures
*Incontinence
*Vomiting
*Disorientation
*Diplopia
*Ptosis
*Hypertension
*Apraxia
*Decreased Neuromuscular control
*Memory Impairment
*Aphasia (L Hemisphere for CVA)
*Decreased cough/Swallow Reflex
*Agnosia (Decr. Sensory interpretation)
*Hemiparesis/hemiplegia
*Emotional Liability
*Loss of corneal reflex
*Homonymous *Hemianopsia
*Spatial-Perceptual Defects
What are symptoms of Transient Ischemic Attacks (TIA)? Right Ans -
*Confusion
*Vertigo
*Dysarthria
*Transient Hemiparesis
*Temporary Vision Changes
*Typically lasts less than 1 hours
What are Focal Neurological symptoms? Right Ans - *Paralysis
*Sensory Loss
*Language Disorder
*Reflex Changes
,What are the 3 steps to stroke recognition? Right Ans - 1. Ask person to
smile and stick out tongue
2. Ask person to make a complete sentence
3. Ask person to raise both arms
What are symptoms of CVA? Right Ans - *Hypo/Hypertonia
*Perceptual Defects
*Apraxia
*Loss of voluntary movement on one side
*Decreased Neuromuscular Control
*Communication Issues
*Emotional Lability
*Impaired judgement and memory
What are causes of CVA? Right Ans - *Atherosclerosis
*Thrombosis
*Embolism
*Cerebral hemorrhage (trauma/tissue damage).
What are symptoms of Right Hemisphere CVA? Right Ans - *Left sided
weakness/Paralyzed left side hemiplegia
*Perceptual Defects (Vulnerable to Accidents)
*Spatial-Perceptual Deficits
*Tends to minimize problems
*Short attention span
*Visual field deficits
*Impaired judgment
*Impulsive
*Impaired time concept
,What are symptoms of Left Hemisphere CVA? Right Ans - *Right sided
weakness/Paralyzed right side Hemiplegia
*Aphasia
*Slow performance
*Visual field deficits
*Depression/Anxiety
*Impaired comprehension
What are diagnostics for CVA? Right Ans - *Neuro Exam
*Lumbar Puncture
*CT of the brain
*MRI
What are pupillary abnormalities associated with CVA? Right Ans - *Pupil
on opposite side of lesion usually larger
*Conjugate Deviation (looks toward lesion)
*Homonymous Hemianopsia
What are reversible risk factors for CVA? Right Ans - *Smoking
*Obesity
*Increased salt intake
*Sedentary life
*Increased stress
*Oral Birth Control
What are partially reversible risk factors of CVA? Right Ans - *Increased BP
*Cardiac Valve Disease
*Dysrhythmias
*Diabetic Mellitus
*Increased Cholesteral
What are the non-reversible risk factors for CVA? Right Ans - *Sex
*Age
*Race
*Heredity
, What are the nursing goals related to CVA care? Right Ans - 1) Airway and
oxygenation
2) Decreased ICP
3) Nutrition
4) Preserve function
5) Safety
6) Rehabilitation
7) Education
What are causes of cerebral edema? Right Ans - *Cerebral Hemorrhage
*Cellular Toxins
*Ischemic Cells
What are causes of dilated cerebral arteries? Right Ans - *Increased PCO2
*Acidotic State
What are risk factors/Etiology of increased ICP? Right Ans - *Secondary to
initial damage
*Brain tumor
*Closed head injury
*Ruptured blood vessels
*Embolism
*Thrombosis
*Ischemia
*Hydrocephalus
What are manifestations of increased ICP? Right Ans - *Change in LOC
*Vomiting
*Pupillary changes *Seizures
*Papilledema (DOLL'S EYES)
*HA
*Decreased Sensory and motor function
*Posturing changes (Decerebrate, Decorticate, Flaccid)
*Changes in vitals (Cushing's Triad, late sign)
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