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NUR 203 Neuro Exam 100% Correct answers Graded A+
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NUR 203 Neuro Exam 100% Correct answers Graded A+Myelino sac, what position should the baby be placed in? - Answer Prone with head
leaned to the side to breastfeed
Spastic cerebral palsy s/s - Answer Hypertonicity with poor gait
and a couple of other things
Cerebral palsy pt findings include - Answer clinched fists
lack of smile
persistent moro reflex
Cerebral palsy pt diet include - Answer increased caloric demands due to the muscle
spasticity
Pt is aware that a potential complication of T6 vertebral body injury includes- Answer
cough and something related to chest/lungs
The pt with a spinal cord injury suspected to the : can now not shrug shoulders. The
nurse should suspect injury at- Answer C4-C5
The pt presents to the ED with an epidural hematoma, what does the nurse expect? -
Answer Preparing the pt for a craniotomy to get the pressure off
Pt is admitted to the floor and has epilepsy, which of the following are not
contraindicated for this pt? SATA - Answer padded bed rails, keep bed rails up at all
time, oxygen and suction at bedside
, What should the nurse do in the event a seizure? Answwer Gently roll pt on their side
loosen clothing clear area out of pt way observe and document the seizure
Nurse is caring for pt with a cranial nerve #9 injury what should be implemented during
feeding time? Answer sit pt up in the bed
Pt has a current BP 210/110 and reports sudden flushing to the trunk. What is the nurses
priority action? - Answer Sit the patient HOB up
Pt presents with symptoms of autonomic dysreflexia. What is the nurse's priority? -
Answer Palpate bladder
A stroke pt is taken to surgery and then admitted to the floor for observation. The pt
begins to present with slurred speech. What should the nurse do as priority action? -
Answer Place pt HOB up to 30 degrees and call the doctor
What would you make the priority first assessment with the pt who presents to the ED
with a brain injury? - Answer Check respiratory status
What is the body's main response to ensure that tissue perfusion/ blood pressure is
maintained? - Answer MAP-arterial pressure
Find CPP - Answer CPP=MAP-ICP
Pt had TPA at 10 AM. Dr gives the order for clopidogrel and coumadin to be given in the
evening. The nurse should: - Answer A. Give the medications because it's within the
correct time frame
B. Call the Dr. and question the time.
C. Call the pharmacist and question the time.
look up
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