NUR 170 Exam 2 2024 | NURS 170 Actual
Exam Update Latest 2024 Questions and
Correct Answers Rated A+
When should you call for a rapid response? -ANSWER-When a
patient has showed signs of deterioration but still has a pulse and is
breathing
What should the nurse do during the rapid response before the team
arrives? -ANSWER-Stay with the patient and assess vitals and ABC's.
Call a code blue if the patient stops breathing or looses a pulse.
When should you call a code blue? -ANSWER-When the patient is not
breathing and does not have a pulse
When should you call for help? -ANSWER-If you need assistance but
the patient is stable. For example, patient is on the floor and you need
another set of hands.
Can migraines be genetic? -ANSWER-Yes
What are clusters caused by? -ANSWER-An overactive and enlarged
hypothalamus
Are migraines more common in males or females? -ANSWER-
Females
Are clusters more common in males or females? -ANSWER-Males
Describe the symptoms of a migraine. -ANSWER--Unilateral
,- Throbbing pain
-Worse with movement
-Photophobia
-N&V
- Can last from 4-72 hours
Describe the symptoms of a cluster headache. -ANSWER-- Unilateral
- Nonthrobbing, excruciating
- Felt deep around eye
- Rhinorrhea
-Occurs at same time of day and on routine basis
-Facial edema
- Occurs usually in spring and fall
Where should you place a patient who is experiencing a migraine? -
ANSWER-A dark, quiet room, and laying flat
What are some triggers for migraines -ANSWER-Caffeine
Red wine
Stress
MSG
Tyramine
What are some triggers for clusters -ANSWER-Usually lifestyle related
-Stress, anger, anxiety
Can be different for each patient
What does an abortive treatment mean? -ANSWER-Stop it before it
starts (usually stop at aura)
What is the problem with Triptan medications? -ANSWER-They can
cause ischemia in the heart which can cause a heart attack
,What are some medications that can be prescribed for patients who
receive migraines almost daily? -ANSWER-Beta blockers
Calcium channel blockers
Antiepileptics
When on Triptans you should _______ -ANSWER-Report chest pain
and use birth control to prevent birth defects
What are common side effects of Triptans? -ANSWER-numbness,
tingling, flushing, hot sensation
What is a Percutaneous stereoatctic rhizotomy (PSR)? -ANSWER-A
surgical way to get rid of chronic cluster headaches. It is a major brain
surgery and is considered a last resort.
What cranial nerve does the PSR surgery deal with? -ANSWER-
Cranial nerve #5
Tonic Clonic seizure -ANSWER-Muscles + Jerking. Used to be called
a Grand Mal Seizure.
Who normally experiences an absent seizure? -ANSWER-Children
What is a Myoclonic seuzure? -ANSWER-Bilateral or unilateral
extremities
What does posturing tell us about a seizure? -ANSWER-What part of
the brain is being affected
What is a seizure? -ANSWER-The misfiring of neurons in the brain
, What is epilepsy? -ANSWER-An electrical problem in the brain and
they can seize at any given moment
What are some common things that can cause a seizure? -ANSWER-
brain injury, tumor, electrolyte imbalance, fever
What is an idiopathic seizure? -ANSWER-A seizure where the cause
is unknown. Just a one time thing and they don't know what caused it.
What is Decerebrate (posturing)? -ANSWER-brainstem is involved
What is Decoreticate (posturing)? -ANSWER-Higher brain is involved
(arms are up pulling into core)
What is the postictal phase? -ANSWER-The "reboot" phase after a
seizure. Can take up to 20 minutes for them to wake up.
After a seizure, what do you do the patient? -ANSWER-- Check vitals
- Neuro checks
- Keep them on side
- Allow to rest
- Document (Type, start, stop, posturing)
Why do you keep the patient on their left side during/after a seizure? -
ANSWER-So they can maintain their airway
What is a seizure precaution? -ANSWER-- Pad the side rails
- Keep oxygen available
- Airway at bedside
- Suction set-up
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