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NSG223 MedSurg III Exam -2 with complete solutions 2024_2025.
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NSG223 MedSurg III Exam -2 with complete solutions 2024_2025.
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NSG223 MedSurg III Exam #2 withcomplete solutions 2024/2025
The initial treatment of choice for conduction abnormalities is - ANSWER- IV
bolus of atropine
not effective for type II, second degree or third degree AV block
adverse effects of atropine - ANSWER- Tachycardia
Mydriasis
Urinary retention
contraindications of atropine - ANSWER- glaucoma
Bronchial asthma
Bladder neck obstruction
signs of ICP - ANSWER- Cushing triads
(systolic hen, widening MAP, bradycardia, irregular respirations)
ocular signs of ICP - ANSWER- dilation of pupil on same side
unequal pupils
ptosis (droopy eyes)
diplopia (double vision)
Dolls eyes (head falls back, eyes go back with it)
sluggish/blurred vision
mild concussion discharge instructions - ANSWER- return if you have:
- persistant headache
- lethargy
- changes in behavior
- shortened attention span
- change in intelectual abilities
, What's a closed head injury? - ANSWER- non penetrating injury
whats the difference between concussion vs contusion? - ANSWER- concussion:
head injury, no internal damage
contusion: head injury w/ tissue damage
sx a pt's closed head injury is worsening - ANSWER- battles sign
raccoon eyes
CFS leak
a pt has a closed head injury and now is having CSF leakage, whats this pt at risk
for? - ANSWER- meningitis
**glucose test ; halos sign (tests spinal fluid)**
Symptoms of autonomic dysreflexia - ANSWER- increased BP
blinding headache
bladder full
pt is assessed and RN suspects possible autonomic dysreflexia, what should RN
do first? - ANSWER- elevate head of bed
pt has a spinal cord injury at T5, what shouldn't they do - ANSWER- raise knees =
DVT risk
Dilatin class - ANSWER- Antiarryhmic & Anticonvulsant
Dilatin teaching - ANSWER- NL side effects: headache N/V constipation, insomnia
need back up OC
Decorticate posturing - ANSWER- arms flexed inward and bent in toward the body
and the legs are extended
Decerebrate posturing - ANSWER- position of an unconscious person where the
upper extremities and lower extremities are extended and the wrists are flexed
posting of ICP pt's? - ANSWER- Decorticate (flexor)
Decerebrate (extensor)
Dantrolene teachings - ANSWER- liver tests needed = severe hepatic impairment
diarrhea
anorexia
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