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NUR195 Exam 1: Questions & Precise Answers
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NUR195 Exam 1: Questions & Precise Answers
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NUR195 Exam 1: Questions & Precise AnswersWhat is the pathophysiology of a stroke? Right Ans - Neurological deficit caused by decreased blood flow to a protion of the brain.
What are two types of strokes? Right Ans - Ischemic or hemorrhagic
What causes an ischemic stroke? Right Ans - Blood clot or severe narrowing of the arteries in the brain.
What cuases a hemorrhagic troke? Right Ans - A burst vessel in the brain that causes bleeding to occur within the brain.
What are expected assessment findings for a patient that has had a stroke? Right Ans - Facial droop
Arm drifting
Speech problems or slurring of speech
Time (How long has it been going on)
Symptoms location specific and contralateral
Swallow screen to assess for dysphagia
Diagnostic tests used for test for a stroke Right Ans - MRI
CT
Clotting studies
D-Dimer
Neurologic examination
Nursing priorities for a patient that had a stroke Right Ans - Fall risk
aspiration risk
Address communication needs
Coping skills
Functional ability
What is Therapeutic management for a patient that had a stroke Right Ans - PT, OT, Speech Therapy
Control hypertension
Monitor vitals closely Frequent neuro checks
Decrease stimuli
Minimize ICP
TPA- ISCHEMIC ONLY
EVD or aneurysm repari- HEMORRHAGIC
What is another name for metformin? Right Ans - Glucophage
What is metformin used for? Right Ans - To lower the level of blood glucose
in diabetic patients
How does metformin work in the body? Right Ans - Works in the liver where it lessens the amount of sugar made and absorbed
If the patients blood glucose level is 75 at breakfast and the patient is not going to eat, would you still adminiser this medication? Right Ans - Yes
What drug classification is glipizide? Right Ans - sulfonylureas
How does glipizide work? Right Ans - Stimulates the pancrease to secrete insulin
Why is glipizide often given with metformin? Right Ans - They work together to decrease blood sugar but they work on differenct organs. Glipizide
worsks on the pancreas, metformin works on the liver
What drug classification is hydrochlorothiazide? Right Ans - diuretic
Why would hydrochlorothiazide be prescribed? Right Ans - Patient has edema and we need to get fluid off the patients body.
What would be obtained/assessed prior to giving hydrochlorothiazide? Right Ans - Blood pressure
I/O
Potassium level
What labs are important when giving hydrochlorothiazide? Right Ans - Potassium
Creatinine
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