Exam (elaborations)
NURS 422 FINAL EXAM WITH COMPLETE SOLUTION
- Course
- Institution
NURS 422 FINAL EXAM WITH COMPLETE SOLUTION...
[Show more]
Content preview
NURS 422 FINAL EXAM WITHCOMPLETE SOLUTION
Viral meningitis - ANSWER most common; resolves w/o tmt
bacterial meningitis risk factors - ANSWER bacterial infections - upper
respiratory, Hib, Neisseria meningitidis
invasive procedures
skull fractures
crowded living conditions
bacterial meningitis s/sx - ANSWER severe HA, stiff neck, rapid breathing,
macular red rash, pale/blue skin, dusky around lips, cold hands/feet with
high temperature
bacterial meningitis lumbar puncture - ANSWER CSF fluid cloudy, increased
protein, decreased glucose, increased WBC
lumbar puncture procedure - ANSWER CT scan to rule out space-occupying
lesion, empty bladder, lie still in fetal position, client should report
shooting/tingling pain, apply pressure over site with sterile dressing; lie flat
4-8 hours post procedure
Brudzinski's sign (meningitis) - ANSWER knees and hips flex when neck is
flexed to sternum
Kernig's sign (meningitis) - ANSWER inability to straighten leg when
opposite hip is flexed to 90 degrees
,meningitis interventions - ANSWER HOB 30 degrees, decrease stimuli,
droplet precautions until abx for 24 hours, cooling blanket, prophylactic abx
for individuals in close contact, non-opioid analgesics for HA to avoid
changing LOC
seizure triggers - ANSWER hypoglycemia, stress, hyperventilation, fatigue,
Na/Ca/Mg imbalances
generalized seizures - ANSWER involves entire brain
tonic clonic seizure - ANSWER aura, tonic (stiffening/rigidity, immediate
LOC), clonic
(jerking of all extremities), incontinence, breathing irregularities
absence seizure - ANSWER periods of staring and loss of awareness
myoclonic seizure - ANSWER sudden uncontrolled jerking or stiffening of 1+
extremity (increase falls)
postictal - ANSWER after seizure; confusion, sleepiness
partial seizures - ANSWER begins in 1 hemisphere, less responsive to tmt
partial simple seizure - ANSWER NO LOC, aura, may have one sided
movement, autonomic symptoms
partial complex seizure - ANSWER altered LOC, patient is unaware of
environment
EEG pre-procedure - ANSWER NOT NPO to avoid hypoglycemia, shampoo,
no caffeine
seizure interventions - ANSWER keep airway patent, keep patient in
side-lying position, clear environment
, seizure precautions - ANSWER O2, airway, suction equipment, IV, side rails
up & padded, bed in lowest position
status epilepticus - ANSWER seizure lasting longer than 5 minutes or
repeated seizures over 30 minutes
status epilepticus interventions - ANSWER establish airway & IV, IV push
lorazepam or diazepam, administer dilantin/cerebyx afterwards to prevent
additional seizures
vagal nerve stimulator - ANSWER NOT for generalized seizures, patient
activates VNS when aura is present; experience change in voice when
activated
Romberg sign (brain tumor) - ANSWER close eyes and loss of balance =
positive
Babinski sign (brain tumor) - ANSWER big toe moves upwards and other toes
fan out
safety issues with brain tumor - ANSWER aspiration and falls
tumor above tentorium = cerebral - ANSWER severe HA in am, visual
changes, decreased motor ability, optic disk swelling, hyper/paresthesias,
aphasia, seizures, altered mental activity or personality
tumor below tentorium = cerebellum, brainstem - ANSWER hearing loss,
facial pain/weakness, ataxia, dysphagia, nystagmus, hoarseness, dysarthria,
ANS dysfunction
post-op above tentorium - ANSWER HOB 30 degrees
post-op below tentorium - ANSWER supine
The benefits of buying summaries with Stuvia:
Guaranteed quality through customer reviews
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying these notes from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller Newsolution. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $9.99. You're not tied to anything after your purchase.
Can Stuvia be trusted?
4.6 stars on Google & Trustpilot (+1000 reviews)
73091 documents were sold in the last 30 days
Founded in 2010, the go-to place to buy study notes for 14 years now