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Exam (elaborations)

NUR3503 Week 4 Exam Latest Update

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NUR3503 Week 4 Exam Latest Update ...

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  • August 8, 2024
  • 5
  • 2024/2025
  • Exam (elaborations)
  • Questions & answers
  • types of seizures
  • NUR3503
  • NUR3503
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Zayla
NUR3503 Week 4 Exam Latest Update
Symptoms 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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