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RNSG 1538 INTRACRANIAL REGULATION EXAM REVIEW QUESTIONS AND ANSWERS
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RNSG 1538 INTRACRANIAL REGULATION EXAM REVIEW QUESTIONS AND ANSWERS
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RNSG 1538 INTRACRANIAL REGULATIONEXAM REVIEW QUESTIONS AND ANSWERS
Tonic - Answer-ALOC, dilated pupils, muscular tightening
Clonic seizures - Answer-Repetitive movements
Symptoms at the end of a seizure - Answer-Confusion, drowsiness, resumption
respiration
Partial seizure - Answer-Jerking in extremity and spreading to other areas of the body
Complex seizure - Answer-Facial grimacing, patting and smacking
Prior to Electrocenography - Answer-Avoid caffeine, allowed to eat a meal as it can alter
brain waves if omitted
Helps with seizure but does not minimize risk - Answer-Bed rest, sedation
Carbamazepine - Answer-Anticonvulsant prevents further seizures
Eye movement and muscle rigidity - Answer-Priority of nurse observation during a
seizure to gain insight on clues and triggers of the seizure,
Medical management of seizures - Answer-Barbiturates, benzodiazepines, phenytoin
Dilantin, valproic acid
Common side effects of seizure medications - Answer-Birth defects
Monitor liver levels , wbcs, and platelets, anticonvulsants - Answer-What are nursing
interventions for valproic acid
gingival hyperplasia, bone marrow suppression, anticonvulsant - Answer-What is a side
effects of phenytoin Dilantin?
Diet for seizures - Answer-ketogenic heavy fats low carbs in order for body to produce
ketones out of the proteins and in which reduces seizures
Care of patient during and after a seizure - Answer-Avoid putting fingers in mouth,
remove pillows, raise side rails, ease to the floor if not on bed, protect head from injury,
no restrictive clothing, place on side with head flexed forward
After a seizure - Answer-Prevent aspiration , hypoxia, vomiting, have suctioning ready,
bed to the lowest position and padded flooring
, Nursing interventions for seizures - Answer-Assess vitals, neuro, draw blood levels,
document seizure characteristics, give medications, ECG
Status epilepticus - Answer-Activate rapid response team, stop seizure, iv diazepam,
lorazepam, Ativan , airway et tube, labs, vitals and neurology
Hormonal shifts and OCP - Answer-What can cause a seizure ?
Diazepam and Ativan - Answer-What can stop seizures immediately and is used for
static epilepsy ?
modifiable Risk factors for stroke - Answer-Hypertension, elevated hemoglobin,
cholesterol levels, sedentary lifestyle, smoking and alcohol, promote exercise,
cardiovascular disease (a fib, carotid stenosis), obesity, sleep apnea, diabetes, oral
contraceptive use,
Non modifiable risk factors for stroke - Answer-age, african american race, family
history
Diagnostics for stroke: - Answer-Ct scan, MRI of brain and vessels, TPA
Diagnostics for stroke - Answer-EKG
Diagnostics for stroke - Answer-Carotid Ultrasound, Ct Angioapraghy
thrombolytic therapy - Answer-Goal: dissolve clot
Needs: BP maintained >180/105
S/E: bleeding
Use diuretics osmostically like mannitol, ) o2, HOB at 30 degrees, hemicraniectomy,
intubation, frequent neuro checks - Answer-What are nursing interventions to decrease
ICP?
Removal of cholesterol in veins, surgical process - Answer-What is carotid
endarectomy?
Risk factors for hemorrhagic stroke - Answer-Aneurysm, trauma, HTN
Worse headache in their life, change in LOC, Vomiting, pain and rigidity in neck -
Answer-What are signs of a hemorrhagic stroke?
Complications of Strokes - Answer-Cerebral hypoxia, intense headache with ALOC,
vasospasm, aphasia, partial paralysis, Seizures, hydrocephalus, hyponatremia
Medical management for Hemorrhagic Stroke - Answer-Bed rest, anticoagulants, check
PT time, Dilantin for seizures, anticonvulsants, prevent DVT's Fever,
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