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NUR 425 FINAL EXAM WITH ACTUAL QUESTIONS AND VERIFIED DETAILED ANSWERS|FREQUENTLY TESTED QUESTIONS AND SOLUTIONS|ALREADY GRADED A+|LATEST 2024|GUARANTEED PASS $18.49   Add to cart

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NUR 425 FINAL EXAM WITH ACTUAL QUESTIONS AND VERIFIED DETAILED ANSWERS|FREQUENTLY TESTED QUESTIONS AND SOLUTIONS|ALREADY GRADED A+|LATEST 2024|GUARANTEED PASS

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  • NUR 425

NUR 425 FINAL EXAM WITH ACTUAL QUESTIONS AND VERIFIED DETAILED ANSWERS|FREQUENTLY TESTED QUESTIONS AND SOLUTIONS|ALREADY GRADED A+|LATEST 2024|GUARANTEED PASS

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  • September 25, 2024
  • 13
  • 2024/2025
  • Exam (elaborations)
  • Questions & answers
  • NUR 425
  • NUR 425
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Drnelly
NUR 425 FINAL EXAM WITH ACTUAL QUESTIONS AND
VERIFIED DETAILED ANSWERS|FREQUENTLY TESTED
QUESTIONS AND SOLUTIONS|ALREADY GRADED A+|LATEST
2024|GUARANTEED PASS


what is the earliest indicator of change in neuro status?

change in LOC

what is the term for forgetfulness

confusion

what is the term for drowsy

lethargy

what is the term for arousable by stimulation

obtunded

what is the term for arousable by vigorous stimulation?

stuporours

what is the term for cannot arouse?

coma

what to assess in a neuro assessment?

vitals:
-changes in HR and BP are more important than certain directions or limits they should be in
(trends!)
-HR and BP and temp variable
-respirations altered?
-hypotension: decreases cerebral blood flow (less pressure)
-hypertension: increases cerebral blood flow (more pressure)

assess fontanels/sutures if less than 2 years old
-abnormal bulging

assess head circumference

assess pupils
-size and reactivity
-pinpoint: overdose
-bilateral fixed and dilated: brainstem herniation...could be caused by mydriatic drugs

what is cushing's reflex?

, decreased HR, increased BP, altered respirations

This is a late sign and uncommon in children

the breathing is an ominous sign

What is Cheyne-Stokes breathing?

apnea of 10-60 sec followed by increasing depth and frequency of breaths (occurs in DKA)

what conditions affect altered mental status?

-metabolism (hypoglycemia, DKA)
-infections (meningitis)
-toxins (alcohol, lead)
-trauma (traumatic brain injury, submersion injury)
-endocrine (hypothyroidism)
-neurological/neoplasm (seizure, myelomeningocele, tumor)

why is MAP important?

it is a better indicator of perfusion

it is the average blood pressure during one cardiac cycle

normal value for MAP in pediatrics?

should be above 50 (adults are 60-100)

what is cerebral perfusion pressure?

pressure needed to ensure adequate oxygen and nutrients are delivered to the brain

it is the difference between pressure of blood going to the brain (MAP) and the back pressure to this
flow (ICP)

What is intracranial pressure?

it is the force exerted by the three contents of the brain (csf, blood, tissue)

why must cpp must be maintained within narrow limits?

because too little pressure could cause ischemia and too much pressure could raise ICP

net gradient that drives oxygen to tissue

what is the relationship between ICP and CPP?

they work against each other

-if icp increases, then cpp decreases

what is the normal value of CPP in children?

40-60

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