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MDC4 Exam 1-Questions with Correct Answers/ Verified/ latest Version 2024/2025
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MDC4 Exam 1-Questions with Correct Answers/ Verified/ latest Version 2024/2025
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MDC4 Exam 1-Questions with Correct Answers/ Verified/ latestVersion 2024/2025
cerebral aneurysm symptoms
severe headache, dilated pupils, blurred vision, neck pain, nausea, photosensitivity
What are the characteristics of early-stage Alzheimer's disease?
Completes ADLs, subtle changes in memory and behaviour
What are the characteristics of moderate-stage Alzheimer's disease?
Wandering behavior, agitation, incontinence
What are the characteristics of late-stage Alzheimer's disease?
Bedridden, seizures, tremors, Agnosia
Migraine signs/symptoms
Episodic, head pain lasting from 4 to 72 hours
Steady ache to violent throbbing
Unilateral, worse with activity
Aura
Photophobia, phonophobia, osmophobia
Education about Propranolol
take daily at the same time
Multiple Sclerosis treatment
immunomodulators and immosuppressants. commonly given as injections so rotate
injection sites
,Clinical manifestations of meningitis
nuchal rigidity (stiff neck), positive kernigs, brudzinskis sign,
Treatment for severe migraines*
ergotamine tartrate (taken at the start of the headache) can take up to 6 tablets in 24 hours
How does ergotamine tartrate work?
acts by constricting the cerebal blood vessels
priorities for seizure precautions
lay on left side, adequate airway, padded rails.
how to manage a patient with active seizure
suction and 02,
bedrails up and padded,
IV access,
give ativan/lorazepam
New onset of a migraine and the doctor wants a ct with contrast
ask if allergic to shellfish, seafood, iodine
Dietary restrictions for people with migraines
caffeine, alcohol, pickled foods, aged cheeses, artificial sweeteners,
How can you protect a client with increased ICP?
Increase head of bed to 30-45 degrees, decrease noise in the room, provide stool softners,
prevent elevated interthoracic pressure
How do Alzheimer's patients act with changes in their environment
anxious/anxiety
, What is our priority with cervical spinal injuries
ABC's and stabalize cervical spine
stroke nursing interventions
small bites with food,
diet - pureed, watch the affected side for food pocketing,
dentures,
sit up right 90 degrees,
DO NOT use straws.
CSF
clear fluid, halo ring, DO NOT put things in their ears
Stroke
tuck chin to swallow to prevent aspiration
Contraindication for increased ICP
lumbar puncture
Elevated ICP
greater than 20 mmHg sustained
Significant sign of ICP
LOC- earliest sign, Decrease in patients neurological status.
Cervical injury: Above level of C4
keep body in alignment so that jugular does not occlude
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