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Chamberlain NR 325 Exam 2, NR 325 Exam #2 Study Guide with Verified Solutions $11.49   Add to cart

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Chamberlain NR 325 Exam 2, NR 325 Exam #2 Study Guide with Verified Solutions

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Chamberlain NR 325 Exam 2, NR 325 Exam #2 Study Guide with Verified Solutions Which sided stroke has impaired speech/language aphasia; impaired right/left discrimination; slow performance/cautious,; depression/anxiety; impaired comprehension. - Answer-Left-Sided Which sided stroke has spatial ...

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Chamberlain NR 325 Exam 2, NR 325
Exam #2 Study Guide with Verified
Solutions

Which sided stroke has impaired speech/language aphasia; impaired right/left discrimination; slow

performance/cautious,; depression/anxiety; impaired comprehension. - Answer✔✔-Left-Sided


Which sided stroke has spatial perception deficits; denying/minimizing; rapid performance/short

attention; impulsiveness; impaired judgment; impaired time. - Answer✔✔-Right-sided


_____ are the confirming diagnostic studies for stroke. - Answer✔✔-CT; CT angiogram; CT/MRI perfusion

and diffusion imaging; MRI; Magnetic resonance angiography (MRA)


_____ are the confirming laboratory studies for stroke. - Answer✔✔-Prothrombin time, activated partial

thromboplastin time; CBC (including platelets); Electrolyte panel with blood glucose; Lipid profile; Renal

and hepatic studies


Recombinant tissue plasminogen activator (tPA) is used to produce localized fibrinolysis by binding to the

fibrin in the thrombi, and is the immediate treatment for _____ _____. - Answer✔✔-Ischemic stroke


Aspirin at a dose of 325 mg may be started within 24 to 48 hours after the onset of an _____ stroke. -

Answer✔✔-ischemic


Anticoagulants and platelet inhibitors are contraindicated in patients with _____ strokes. - Answer✔✔-

hemorrhagic



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FIRST PUBLISH SEPTEMBER 2024


The main drug therapy for patients with _____ stroke is the management of hypertension. - Answer✔✔-

hemorrhagic


The _____ _____ of a spinal cord injury (SCI) is initial physical disruption of the spinal cord. - Answer✔✔-

primary injury


The _____ _____ of a spinal cord injury is from processes, such as ischemia, hypoxia, hemorrhage,

edema - Answer✔✔-secondary injury


_____ _____ may occur shortly after acute SCI. It is characterized by loss of deep tendon and sphincter

reflexes, loss of sensation, and flaccid paralysis below the level of injury. - Answer✔✔-Spinal shock


_____ _____ involvement results in total loss of sensory and motor function below the level of injury. -

Answer✔✔-Complete cord


_____ _____ involvement results in a mixed loss of voluntary motor activity and sensation and leaves

some tracts intact. - Answer✔✔-Incomplete cord


SCI at C1-C3 - Answer✔✔-Often fatal; Movement in neck and above, loss of innervation to diaphragm,

absence of independent respiratory function


SCI at C4 - Answer✔✔-Sensation and movement in neck and above; May be able to breathe without

ventilator


SCI at C5 - Answer✔✔-Full neck, partial shoulder, back, biceps; Gross elbow, inability to roll over or use

hands; ↓ Respiratory reserve


SCI at C6 - Answer✔✔-Shoulder and upper back abduction and rotation at shoulder; Full biceps to elbow

flexion, wrist extension, weak grasp of thumb; ↓ Respiratory reserve

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FIRST PUBLISH SEPTEMBER 2024


SCI at C7-C8 - Answer✔✔-All triceps to elbow extension, finger extensors and flexors; Good grasp with

some decreased strength; ↓ Respiratory reserve


SCI at T1-T6 - Answer✔✔-Full innervation of upper extremities; Back, essential intrinsic muscles of hand;

Full strength and dexterity of grasp; ↓ Trunk stability, decreased respiratory reserve


SCI at T6-T12 - Answer✔✔-Full, stable thoracic muscles and upper back; Functional intercostal muscles,

resulting in ↑ respiratory reserve


SCI at L1-L2 - Answer✔✔-Varying control of legs and pelvis; Instability of lower back


SCI at L3-L4 - Answer✔✔-Quadriceps and hip flexors; Absence of hamstring function, flail ankles


CT scan is the preferred imaging study to diagnose the location and degree of injury and the degree of

_____ _____ _____. - Answer✔✔-spinal canal compromise


_____ is used to assess soft tissue injury, neurologic changes, unexplained neurologic deficits, or

worsening neurologic condition in SCI. - Answer✔✔-MRI


Goals immediately after _____ include maintaining a patent airway, adequate ventilation/breathing, and

adequate circulating blood volume (ABCs) and preventing extension of spinal cord damage (secondary

injury). - Answer✔✔-SCI


_____ allows the patient to move and ambulate while cervical bones fuse - Answer✔✔-Halo fixation

device


One of the physically demonstrable symptoms of meningitis is _____ _____. Severe neck stiffness causes

a patient's hips and knees to flex when the neck is flexed. - Answer✔✔-Brudzinski's sign



Page 3/35

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FIRST PUBLISH SEPTEMBER 2024


Positive _____ sign is involuntary flexing of hips and knees (an involuntary reaction to lessen the stretch

on the inflamed meninges) - Answer✔✔-Brudzinski's sign


_____ _____ is a neuropsychiatric manifestation of liver disease. The pathogenesis is multifactorial. It

includes the neurotoxic effects of ammonia, abnormal neurotransmission, astrocyte swelling, and

inflammatory cytokines. - Answer✔✔-Hepatic encephalopathy


A characteristic manifestation of hepatic encephalopathy is _____, or flapping tremors, with the most

common involving the arms and hands. - Answer✔✔-asterixis


If the common bile duct is obstructed due to _____, no bilirubin will reach the small intestine to be

converted to urobilinogen. Thus the kidneys will excrete bilirubin, causing dark amber to brown urine. -

Answer✔✔-cholelithiasis


Complications of _____ and cholecystitis include gangrenous cholecystitis, subphrenic abscess,

pancreatitis, cholangitis (inflammation of biliary ducts), biliary cirrhosis, fistulas, and rupture of the

gallbladder, which can cause bile peritonitis. - Answer✔✔-cholelithiasis


Manifestations of _____ vary from indigestion to moderate to severe pain, fever, chills, and jaundice. -

Answer✔✔-cholecystitis


When a stone is lodged in the ducts or when stones are moving through the ducts, spasms may result in

response to the stone. This sometimes causes severe pain, which is termed _____ _____. - Answer✔✔-

biliary colic


_____ results in the replacement of liver tissue by fibrosis (scar tissue) and regenerative nodules that

occur from the liver's attempt to repair itself - Answer✔✔-cirrhosis



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