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Chamberlain NR 325 Exam 2 Questions
With 100% Verified Answers
Which sided stroke has impaired speech/language aphasia; impaired right/left discrimination;
slow performance/cautious,; depression/anxiety; impaired comprehension. - answer✔Left-Sided
Which sided stroke has spatial perception deficits; denying/minimizing; rapid performance/short
attention; impulsiveness; impaired judgment; impaired time. - answer✔Right-sided
_____ are the confirming diagnostic studies for stroke. - answer✔CT; CT angiogram; CT/MRI
perfusion and diffusion imaging; MRI; Magnetic resonance angiography (MRA)
_____ are the confirming laboratory studies for stroke. - answer✔Prothrombin time, activated
partial thromboplastin time; CBC (including platelets); Electrolyte panel with blood glucose;
Lipid profile; Renal and hepatic studies
Recombinant tissue plasminogen activator (tPA) is used to produce localized fibrinolysis by
binding to the fibrin in the thrombi, and is the immediate treatment for _____ _____. -
answer✔Ischemic stroke
Aspirin at a dose of 325 mg may be started within 24 to 48 hours after the onset of an _____
stroke. - answer✔ischemic
Anticoagulants and platelet inhibitors are contraindicated in patients with _____ strokes. -
answer✔hemorrhagic
The main drug therapy for patients with _____ stroke is the management of hypertension. -
answer✔hemorrhagic
The _____ _____ of a spinal cord injury (SCI) is initial physical disruption of the spinal cord. -
answer✔primary injury
The _____ _____ of a spinal cord injury is from processes, such as ischemia, hypoxia,
hemorrhage, edema - answer✔secondary injury
_____ _____ may occur shortly after acute SCI. It is characterized by loss of deep tendon and
sphincter reflexes, loss of sensation, and flaccid paralysis below the level of injury. -
answer✔Spinal shock
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_____ _____ involvement results in total loss of sensory and motor function below the level of
injury. - answer✔Complete cord
_____ _____ involvement results in a mixed loss of voluntary motor activity and sensation and
leaves some tracts intact. - answer✔Incomplete cord
SCI at C1-C3 - answer✔Often fatal; Movement in neck and above, loss of innervation to
diaphragm, absence of independent respiratory function
SCI at C4 - answer✔Sensation and movement in neck and above; May be able to breathe without
ventilator
SCI at C5 - answer✔Full neck, partial shoulder, back, biceps; Gross elbow, inability to roll over
or use hands; ↓ Respiratory reserve
SCI at C6 - answer✔Shoulder and upper back abduction and rotation at shoulder; Full biceps to
elbow flexion, wrist extension, weak grasp of thumb; ↓ Respiratory reserve
SCI at C7-C8 - answer✔All triceps to elbow extension, finger extensors and flexors; Good grasp
with some decreased strength; ↓ Respiratory reserve
SCI at T1-T6 - answer✔Full innervation of upper extremities; Back, essential intrinsic muscles
of hand; Full strength and dexterity of grasp; ↓ Trunk stability, decreased respiratory reserve
SCI at T6-T12 - answer✔Full, stable thoracic muscles and upper back; Functional intercostal
muscles, resulting in ↑ respiratory reserve
SCI at L1-L2 - answer✔Varying control of legs and pelvis; Instability of lower back
SCI at L3-L4 - answer✔Quadriceps and hip flexors; Absence of hamstring function, flail ankles
CT scan is the preferred imaging study to diagnose the location and degree of injury and the
degree of _____ _____ _____. - answer✔spinal canal compromise
_____ is used to assess soft tissue injury, neurologic changes, unexplained neurologic deficits, or
worsening neurologic condition in SCI. - answer✔MRI
Goals immediately after _____ include maintaining a patent airway, adequate
ventilation/breathing, and adequate circulating blood volume (ABCs) and preventing extension
of spinal cord damage (secondary injury). - answer✔SCI
_____ allows the patient to move and ambulate while cervical bones fuse - answer✔Halo
fixation device
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One of the physically demonstrable symptoms of meningitis is _____ _____. Severe neck
stiffness causes a patient's hips and knees to flex when the neck is flexed. - answer✔Brudzinski's
sign
Positive _____ sign is involuntary flexing of hips and knees (an involuntary reaction to lessen
the stretch on the inflamed meninges) - answer✔Brudzinski's sign
_____ _____ is a neuropsychiatric manifestation of liver disease. The pathogenesis is
multifactorial. It includes the neurotoxic effects of ammonia, abnormal neurotransmission,
astrocyte swelling, and inflammatory cytokines. - answer✔Hepatic encephalopathy
A characteristic manifestation of hepatic encephalopathy is _____, or flapping tremors, with the
most common involving the arms and hands. - answer✔asterixis
If the common bile duct is obstructed due to _____, no bilirubin will reach the small intestine to
be converted to urobilinogen. Thus the kidneys will excrete bilirubin, causing dark amber to
brown urine. - answer✔cholelithiasis
Complications of _____ and cholecystitis include gangrenous cholecystitis, subphrenic abscess,
pancreatitis, cholangitis (inflammation of biliary ducts), biliary cirrhosis, fistulas, and rupture of
the gallbladder, which can cause bile peritonitis. - answer✔cholelithiasis
Manifestations of _____ vary from indigestion to moderate to severe pain, fever, chills, and
jaundice. - answer✔cholecystitis
When a stone is lodged in the ducts or when stones are moving through the ducts, spasms may
result in response to the stone. This sometimes causes severe pain, which is termed _____ _____.
- answer✔biliary colic
_____ results in the replacement of liver tissue by fibrosis (scar tissue) and regenerative nodules
that occur from the liver's attempt to repair itself - answer✔cirrhosis
Hepatic encephalopathy caused by cirrhosis is treated with _____, to prevent breakdown of
blood and the release of ammonia in the intestine. - answer✔lactulose
Increased levels of alkaline phosphatase, ALT, and AST are the notable labs present with _____.
- answer✔cholecystitis
After an _____ _____, tell the patient to avoid heavy lifting for 4 to 6 weeks. Usual sexual
activities, including intercourse, can be resumed as soon as the patient feels ready, unless
otherwise instructed by the HCP. - answer✔incisional cholecystectomy
1. Remove the bandages on the puncture sites the day after surgery and you can shower.
2. Notify your HCP if any of the following signs and symptoms occurs:
