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NUR 280 Exam 4 Questions With Complete Solutions
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NUR 280 Exam 4 Questions With Complete Solutions
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NUR 280 Exam 4 Questions With Complete SolutionsFactors affecting ICP Correct Answer Increased pressure,
posture, temp, O2/CO2 levels
Measurement of cerebral oxygenation/perfusion Correct
Answer Licox catheter (PBTO2 and temp), jugular venous bulb
catheter (SJVO2)
Measurement of ICP Correct Answer Ventriculostomy,
fiberoptic catheter, air pouch/pneumatic tech
Medications for increased ICP Correct Answer Mannitol,
antipyretics, narcotics, barbiturate coma, seizure prophylaxis
Nursing interventions for increased ICP Correct Answer HOB
30 degrees, neutral head/neck position, limit suction, reposition,
stool softener, control stimuli, manage temp and pain
Signs and symptoms of increased ICP Correct Answer LOC
change, headache, pupillary dysfunction, vision changes,
weakness, restlessness, speech changes, Cushing's Triad
Spinal shock Correct Answer Temporary loss of
motor/sensation/autonomic function
Types of cerebral edema Correct Answer Vasogenic, cytotoxic,
interstitial
Types of spinal cord injury Correct Answer Primary, secondary
,What are some GI considerations with ventilated patients?
Correct Answer stress ulcers/GI bleed, gastric/bowel dilation
from gas r/t swallowed air
What are the 3 phases of physiologic changes? Correct Answer
injury/exudative, reparative/proliferative,
fibrotic/fibroproliferative
What are the 6 P's of acute arterial ischemia? Correct Answer
Pain, pallor, pulselessness, paresthesia, paralysis, poikilothermia
What are the acute clinical manifestations of MR? Correct
Answer Thready peripheral pulses, Cool, clammy extremities r/t
low CO, Need valve repair or replacement
What are the causes of ARF? Correct Answer pneumonia, drug
overdose, ARDS
What are the causes of damage to the mitral valve? Correct
Answer MI, Chronic rheumatic heart disease, Mitral valve
prolapse, IE
What are the causes of inadequate nutrition? Correct Answer
hypermetabolism (r/t critical illness) and PPV
What are the chronic clinical manifestations of MR? Correct
Answer Asymptomatic for years, Progresses to LVHF,
weakness, fatigue, palpitations, dyspnea, progress to orthopnea,
paroxysmal nocturnal dyspnea, peripheral edema
, What are the clinical manifestations of Aortic Valve Stenosis?
Correct Answer May be asymptomatic, angina, syncope,
exertional dyspnea.
What are the clinical manifestations of MS? Correct Answer
Exertional dyspnea, syncope, chest pain, hemoptysis, hoarse
voice, palpitations, risk for atrial fibrillation and stroke
What are the clinical manifestations of PAD? Correct Answer
Intermittent claudication, paresthesia, reduced blood flow to
limb, thin, shiny, taut skin, loss of hair, diminished pulses, pallor
of foot with leg elevation, reactive hyperemia of foot with
dependent position.
What are the clinical manifestations of Pulmonic Valve
Stenosis? Correct Answer Syncope, dyspnea, angina.
What are the clinical manifestations of Tricuspid Valve
Stenosis? Correct Answer Fluttering discomfort in neck,
fatigue, RUQ pain.
What are the complications of aortic aneurysms? Correct
Answer Rupture, massive hemorrhage, black tag status,
abdominal/back/groin/periumbilical pain, pulsating abdominal
mass, Grey Turner's eccymosis
What are the complications of ARDS? Correct Answer
Multiple organ dysfunction syndrome, oxygen toxicity,
pulmonary embolism, pulmonary fibrosis, ventilator-associated
pneumonia, hypermetabolic state, stress ulcer, acute kidney
injury, dysrhythmias, decreased cardiac output, anemia,
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