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NURS 400 FINAL NEURO&RENAL Exam Questions & Answers 100% Accurate!!

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  • NURS 400
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  • NURS 400

Stroke/Emergency care (ROR/Implementation, SATA) - ANSWER-ROR: MRI & CT to rule out bleeding, 1:1 nurse patient Interventions: 2 large-bore IVs for labs, walk blood to lab, transport to CT, q4 min neuro checks & VS, determine need for tPA, 2 nurse check for tPA given within 4 1⁄2 hrs post s/s ...

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  • August 18, 2024
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  • Exam (elaborations)
  • Questions & answers
  • NURS 400
  • NURS 400
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NURS 400 FINAL NEURO&RENAL Exam Questions
& Answers 100% Accurate!!

Stroke/Emergency care (ROR/Implementation, SATA) - ANSWER-ROR: MRI & CT to rule out bleeding,
1:1 nurse patient

Interventions: 2 large-bore IVs for labs, walk blood to lab, transport to CT, q4 min neuro checks & VS,
determine need for tPA, 2 nurse check for tPA given within 4 1⁄2 hrs post s/s



ICP (physiological adapt, assessment) - ANSWER-Assess: change in LOC, VS, pupillary changes,
papilledema, decrease sensory and motor,

headache, and vomiting

S/S: LOC is decreased early, late is comatose, pupillary dysfunction (sluggish response to light),
occulomotor dysfunction/ptosis (eyelid droop), visual disturbances, papilledma, weakness, projectile
vomiting, posturing

Early: decreased responsivness, decreased spontaneous movement, pupil dilation

Late: HTN, bradycardia, apnea, unequal pupils



Cerebral Perfusion (physiological adapt, planning) - ANSWER-Normal CPP 60-80mm Hg

- S/S of increased CPP: Cushing's triad (high systolic BP, low HR & RR), changes in LOC, abnormal
posturing, pupillary changes, headache, seizures, vomiting

- Decreasing MAP by more than 20-25% or <110 mmHg, will decrease cerebral perfusion

Planning: What are the goals for cerebral perfusion

MAP-ICP=CPP

(SBP-(2)DBP)3=MAP



Head Injury (physiological adapt, assessment) - ANSWER-Types: fractures, hematomas(epidural,
subdural, cerebral), neuronal(nerve) injury, vascular, focal vs global

S/S: New onset of confusion and agitation, drowsiness, projectile vomiting, pupillary changes, Halo
sign

slurred speech, loss of motor function

Assess: changes in LOC, PEERLA, Neuro checks

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