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Exam 3 NR 328 Study guide Questions Fully Answered. $9.99
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Exam 3 NR 328 Study guide Questions Fully Answered.
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  • NR 328

Nursing measures for a lumbar puncture - Answer Requires consent, sterile fashion Dealing with the tubes for a lumbar puncture - Answer three different tubes sometime more, make sure you LABEL which is the first specimen and so on Position for lumbar puncture - Answer Side lying P...

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  • November 20, 2024
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  • 2024/2025
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Exam 3 NR 328 Study guide Questions
Fully Answered.
Nursing measures for a lumbar puncture - Answer Requires consent, sterile fashion



Dealing with the tubes for a lumbar puncture - Answer three different tubes sometime more, make
sure you LABEL which is the first specimen and so on



Position for lumbar puncture - Answer Side lying



Position for babies and lumbar puncture - Answer do not hyperflex or extend the neck, be sure they
have an open airway, put more pressure on the back or butt



Lumbar punctures show - Answer Inceased WBC, decreased glucose, elevated protein, increased ICP,
and positive culture for menengitis



Lumbar puncture? - Answer Bacteria is made of protein and it eats the glucose



Always wear? - Answer A mask you never know what youre in contact with



Older children and signs of increased ICP - Answer Change in LOC, irritability, vomiting, headache,
motor dysfunction, unequal pupil response, seizures, decline in academics, personality changes



Infants s/s of Increased ICP - Answer Irritability, lethargy, increased head circumference, bulging
fontanels, widened suture lines, sunset eyes, high pitched cry scalp veins



Early sign of ICP increase - Answer Tachycardia



Late sign of increased ICP - Answer bradycardia, failure to follow command

, Fixed and dilated pupils - Answer what med are they on? or brain death impending



cushing reflex - Answer when the pulse pressures are widened (ex: 200/68)



What is an early most important indicator of change in neuro status? - Answer LOC



Parent can detect change - Answer Mom states baby has blank stair and doesnt get excited over
favorite toy exc



Priorities with MVA - Answer A= airway c-spine mobilization

B=breathing

C= circulation

D= disability

E= environment/exposure

F= full set of vitals , five interventions, family presence

G- Give comfort measure

H- head to toe exam

I Inspect



Circulation - Answer carotid artery, 2 ivs, any bleeding



Disability - Answer LOC and pupils



Enviorment/exposure - Answer warm the room up expose them



Five interventions - Answer EKG, pulse ox, foley, blood work, NG tube or oral gastric

NOTHING IN NOSE TILL CT COMES BACK



Inspect - Answer look at back

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