MDC 4 Exam 1 Final Questions and
Answers 100% Verified
Migraine signs/symptoms - CORRECT ANSWER-Episodic, head pain lasting from 4 to
72 hours
Steady ache to violent throbbing
Unilateral, worse with activity
Photophobia, phonophobia, osmophobia
education about propranolol - CORRECT ANSWER-take daily at the same time
Multiple Sclerosis treatment - CORRECT ANSWER-immunomodulators and
immosuppressants. commonly given as injections so rotate injection sites
treatment for severe migraines* - CORRECT ANSWER-ergotamine tartrate (taken at
the start of the headache) can take up to 6 tablets in 24 hours
How does ergotamine tartrate work? - CORRECT ANSWER-Ergotamine selectively
binds and activates serotonin (5-HT) 1D receptors located on intracranial blood vessels,
including those on arterio-venous anastomoses, thereby resulting in vasoconstriction
and reducing the blood flow in cerebral arteries that may lead to relieve of vascular
headaches.
priorities for seizure precautions - CORRECT ANSWER-lay on left side, adequate
airway, padded rails, suction & O2 available
-give ativan/lorazepam
New onset of a migraine and the doctor wants a ct with contrast, what are we asking? -
CORRECT ANSWER-ask if allergic to shellfish, seafood, iodine
dietary restrictions for people with migraines? - CORRECT ANSWER-caffeine,
marinated foods, yogurt
What can we do if someone has increased ICP? How do you want the head of the bed?
- CORRECT ANSWER-decrease stimulation, osmotic diuretics, 30-45 degrees HOB
, how do alzheimers patients act with changes in their environment - CORRECT
ANSWER-anxious/anxiety
What is our priority with cervical spinal injuries - CORRECT ANSWER-ABC's and
stabalize
swallow study - CORRECT ANSWER-start with ice chips, watch for pocketing
stroke nursing interventions - CORRECT ANSWER-small bites with food,
MS diet - pureed, watch the affected side for food pocketing,
sit up right 90 degrees,
DO NOT use straws.
CSF- what to know - CORRECT ANSWER-clear fluid, halo ring, DO NOT put things in
their ears
feeding a stroke PT, safety teaching - CORRECT ANSWER-tuck chin to swallow to
prevent aspiration
Contraindication for increased ICP? - CORRECT ANSWER-lumbar puncture (risk of
brain matter being compressed and pushed toward the spine)
elevated pressure - CORRECT ANSWER-elevate bed
late sign of ICP - CORRECT ANSWER-altered LOC
- CORRECT ANSWER-
Proprioception? - CORRECT ANSWER-perception/position to space - forget about body
on the one side
after giving meds to stroke pt, what do we do? - CORRECT ANSWER-neuro checks,
monitor vitals, especially BP
treatment for a Hemorrhagic STROKE - CORRECT ANSWER-vit k, fresh frozen
plasma,surgery
A way to confirm brain death - CORRECT ANSWER-EEG
Broca and Wernicke's area - CORRECT ANSWER-Broca's- Speech production
Wernicke's- Language understanding
-both found in left hemisphere
MS- what medication is used to help treat spasms? - CORRECT ANSWER-baclofen
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