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NUR3503 Week 4 Exam Latest Update
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NUR3503 Week 4 Exam Latest UpdateSymptoms of neurological problems - Answer Bulging fontanelle
Continuous high pitched cry/scream
Drowsiness, headache, vomiting
Temperature with unknown origin
Photophobia
Types of seizures - Answer generalized and partial
Generalised seizure - Answer Affects whole brain
Loss of consciousness
Incontinence
Tonic/clinic movements
Partial seizure - Answer Only one part of brain affected
Hallucinations
Small jerks
''zoned out"
Status epilepticus - Answer seizures recur every few minutes or last more than 30
minutes
No rest between seizures
Poor blood flow to brain, hypoxia, cell damage
Febrile convulsions - Answer Sudden onset fevers (eg due to viral illness) cause
generalised seizures with tonic/clonic movements
Give paracetemol/ibuprofen, should resolve when fever treated
Nursing care for child having seizure - Answer Keep safe
Protect head
Don't restrain
Time seizures
Re-assure, calm patient
, Re-orientate after seizure
How brain injury occurs after raised ICP - Answer ICP increases
Circulating fluid decreases
Tissue hypoxia
Circulating CO2 increases and PH decreases
= cerebral vasodilation and oedema
= further increased ICP
Nursing management for child with raised ICP - Answer Group activities to reduce
stimulation
Quiet, dark environment
Elevate head
Neuro obs (Monitor head circumference)
FBC
Sedation
Maintain joints and muscle/pressure area care
Spina bifida def - Answer Severe congenital malformation
Gap in transverse process = meninges and cord protrude
Caused by lack of folate during pregnancy
Nursing care for Spina bifida patient - Answer Re-assure and educate parents
Pain management
Moisten wound
Assess mobility and elimination needs
Monitor pressure areas
Hydrocephalus def - Answer Accumulation of CSF in brain ventricles
Increased ICP
Fontanelle bulges = enlarged frontal area
Increased ICP = hypoxia = cell death
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