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NUR 325. Exam 1 Questions and Answers 100% Solved
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Exam of 21 pages for the course NUR 325 at NUR 325 (NUR 325. Exam 1)
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NUR 325. Exam 1antiseizure drugs - answer Drug that cause osteocalcin in patients
Phenothiazines - answer Drugs that cause gait disturbances in patients
corticosteroids - answer Drugs that cause avascular necrosis, and decreased bone and
muscle mass
1. Surgery and treatments (hospitalizations, etc): know details
2. Medications
3. Past health history (osteoporosis, falls, etc) - answer What important health
information (subjective data) should be asked in an MS assessment?
Potassium-depleting diuretics - answer Drugs that cause muscle cramps and weakness
in patients
Patients with sciatica or leg pain - answer Who is the straight leg test done on?
Supine
60 - answer In the straight leg test, the patient is in __________ position and the leg is
raised ______ degrees or less
intervertebral disk prolapse and herniation, particularly at the level of L4-5 or L5-S1. -
answerA positive straight leg test indicates nerve root irritation from what?
nucleus pulposus - answerIn a diskogram, an X-ray of cervical or lumbar intervertebral
disk is done after injecting contrast media into the ____________ ____________
1) iodine allergy (shellfish)
2) pregnancy (high radiation) - answer2 contraindications for CT scans
yes
no (injections to see nerves) - answerare CT scans painless?
are myelograms painless?
1. injections may hurt
2. headache may occur after procedure but should resolve in 1-2 days with rest and
fluids but should be reported to HCP. - answer2 warnings for patients with myelograms?
1-2 - answermyelogram headache may be healed in how many days with rest and
fluids? either way, contact HCP
,aneurysm clips, metallic implants, pacemakers, hearing aids, and shrapnel. -
answerMRI contraindications
1. loud tapping noises intermittently
2. no metal in clothing (ensure this yourself)
3. Be still
4. Claustrophobia - answerWarn MRI patients that (4T):
Yes if indicated and ordered - answeris it okay to give MRI patients antianxiety drugs
before MRI?
Osteomyelitis, bone cancer, fractures
avascular necrosis - answerIn a bone scan, a radioisotope is injected to be taken up by
bone. What may be happening if increased uptake occurs? Decreased uptake may
indicate what?
18-24 hours - answerCRP levels in high levels how many hours later after
inflammation?
MRI - answerwhich takes longer to complete, MRI or CT?
CT - answerWhich imaging diagnostic tool is used to detect hemorrhage, tumor, cyst,
edema, infarction, brain/muscle atrophy, etc?
Electromyogram (EMG) - answerAvoid stimulants including caffeine and sedatives 24 hr
before which procedure?
tricyclic antidepressants, antiseizure drugs, and α2-adrenergic agonists. - answerWhat
are the three adjuvant therapies mentioned in the key points?
nausea, vomiting, pruritus - answerCommon side effects of opioids are constipation,
respiratory depression, sedation, and which THREE other things?
True - answerT or F: For patient with chronic pain, assist patient to plan the distribution
of a specific total dose of analgesic over a 24-hour period
osteomalacia and hypoparathyroidism - answerDecreased serum levels of calcium
indicate two conditions:
bone tumor or hyperparathyroidism - answerIncreased level of serum calcium in which
two conditions
progressive muscular dystrophy, polymyositis, and traumatic injuries. - answerIncreased
levels of CK indicates which 3 conditions?
, Facial nerve CN VII - answerWhat CN is being tested: testing the mouth for taste
sensations.
CN V Trigeminal - answerWhat CN is being tested: testing the strength of muscle
contraction by asking the client to clench their teeth while the nurse palpates the
masseter and temporal muscles, and then the temporomandibular joint.
CN VII - answerwhich nerve is being tested: involves testing for a range of facial
expressions by having the client smile, raise their eyebrows, puff out the cheeks, and
perform other facial movements
CN V trigeminal - answerwhich nerve is being tested: testing light touch by having the
client tell the nurse when they feel a gentle touch on the face from a wisp of cotton.
3 years or younger - answerPull auricle down and back for children of what age?
- slightly down and forward as if pointing at nose - answerInsert the speculum of the
otoscope in which direction?
1-1.5cm
don't touch ear canal (sensitive) - answerThe speculum of the otoscope must be
inserted ___ cm. Be sure not to do what?
cone because of the angle of the ear canal - answerThe tympanic membrane will
appear like a cone or circle?
cyanosis - answerwhich of the following findings should the nurse recognize as
requiring immediate intervention?
cyanosis
erythema
jaundice
C - answerA nurse is assessing a client who is complaining of a severe headache.
Which clinical manifestation is the earliest and most sensitive indicator of neurologic
status change?
A. Change in vital signs
B. Change in skin color
C. Change in level of consciousness
D. Change in respiratory pattern
3 or less - answerCapillary refill should take how many seconds?
2mm depth - answer1+ pitting edema indicates what?
No... this would mean anemia or impaired circulation - answerAre pale nail beds
normal?
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