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Nursing 130 Exam 2 Questions With Correct Detailed Answers.
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Nursing 130 Exam 2 Questions With Correct Detailed Answers.
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Nursing 130 Exam 2 Questions WithCorrect Detailed Answers.
What is the most important nursing task to reduce pressure points on a pt? - ANSWER-
Rotate pt every 2 hours
What is the Braden scale used for? - ANSWER- assess pressure ulcer risk
Which measurements are in the Braden scale? - ANSWER- - Sensory perception (1-4
pts)
- Moisture (1-4 pts)
- Activity (1-4 pts)
- Mobility (1-4 pts)
- Nutrition (1-4 pts)
- Friction & Shear (1-3 pts_
(total of 23 points. The lower the points the bigger the risk for pressure ulcer)
Which conditions does a brain scan pick up? - ANSWER- - vascular lesions
- neoplasms
- abscesses
- areas of cerebrovascular ischemia
What does a neuro chair do? - ANSWER- help to transfer pt's in and out of bed and
serve as a comfortable place for the pt to rest when out of bed.
If a pt. with autonomic dysreflexia gets sudden hypertension, they are at risk for______?
- ANSWER- Death.
What can a brain abscess lead to? - ANSWER- Meningitis
What are the 2 signs for meningeal irritation? - ANSWER- - Brudzinski (stiff neck)
- Kernig (stiffness of hamstrings)
How do you test for Brudzinski (stiff neck)? - ANSWER- Severe neck stiffness causes a
patient's hips and knees to flex when the neck is flexed
How do you test for Kernig (stiffness of hamstrings)? - ANSWER- inability to straighten
the leg when the hip is flexed to 90 degrees.
What should a nurse never do to a pt with increased intracranial pressure? - ANSWER-
never move the head up or down without specific orders from healthcare provider.
, Which part of the brain is involved with long term memory? - ANSWER- Hippocampus
Stimulating the vagus nerve does what? - ANSWER- decreased heart rate
why do we dextrostix fluid seeping from eyes, ears, or nose in head injury pt's? -
ANSWER- to determine if glucose is present
What does it indicate if you find glucose with the dextrostix in fluid seeping from eyes,
ears, or nose in head injury pt's? - ANSWER- That they fluid is CSF (cerebrospinal fluid)
What are the functions of the medulla oblongata in the brain? - ANSWER- - respiratory
center (controls muscles of respiratory response)
- cardiac center (helps regulate HR and force of heart beat)
- vasomotor center (regulates contraction of smooth muscle in blood vessel walls and
controls flow and BP)
What are the functions of the reticular formation (RAS) in the brain? - ANSWER- -
sends impulses to the cerebral cortex to keep us awake and attentive
- screens out unnecessary sensory input
What are the functions of the cerebellum? - ANSWER- - movement
- posture
- balance
Major function of the parietal lobe? - ANSWER- -sense of touch
- knowing where things are in space
Major function of the temporal lobe? - ANSWER- - hearing
- auditory processing
Major function of the occipital lobe? - ANSWER- - vision
- visual processing
Major function of frontal lobe? - ANSWER- - movement
- thinking
- cognition
What is the basic anatomy of a sensory neuron? - ANSWER- Sensory cells carry
afferent impulses to a central interneuron, which makes contact with a motor neuron
What kinds of thing does a sensory neuron transmit? - ANSWER- - touch
- pressure
- pain
- taste
- smell
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