Exam (elaborations)
Chamberlain University School of Nursing NR 325 Final Exam
- Course
- NR325 /NR 325
- Institution
- Chamberlain College Of Nursing
Chamberlain University School of Nursing NR 325 Final Exam
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Chamberlain University School of Nursing NR 325 FinalExam
3 steps to stroke recognition Correct Answers 1. Ask the
person to smile and stick out tongue
2. Ask the person to make a complete sentence
3. As the person to raise both arms
4th leading cause of death Correct Answers Stroke
-Kills 1 American approx every 4 minutes
Abnormal ICP Correct Answers Sustained pressure greater
than 20mmHg
Aging adult assessment findings (nervous system) Correct
Answers -Alterations in mental functioning
-Slowed conduction of nerve impulses/slowed response time
-Changes in gait/ambulation. Diminished kinesthetic sense
-Altered balance, vertigo, syncope. Increased postural
hypotension
-Proprioception diminished. Decreased sensory input
-Decreased reaction time in specific nerves
-Diminished strength/agility
-Diminished sense of touch/pain/temp
-Malnutrition, weight loss
-Diminished sense of smell
-Disturbances in sleep patterns
-Orthostatic hypotension, systolic hypertension
Aging affects on nervous system (brain) Correct Answers -
Decreased cerebral blood flow/metabolism
,-Decreased efficiency of temperature-regulating mechanisms
-Decreased neurotransmitters, loss of neurons
-Decreased o2 supply
-Cerebral tissue atrophy and increased size of ventricles
Aging affects on nervous system (cranial and spinal nerves)
Correct Answers Loss of myelin and decreased conduction
time
Cellular degeneration, death of neurons
Aging affects on nervous system (motor, sensory, reflexes)
Correct Answers Decreased muscle bulk
Decreased sensory receptors
Decreased electrical activity
Atrophy of taste buds
Degeneration/loss of fibers in olfactory bulb
Degenerative changes in nerve cells in inner ear, cerebellum,
and proprioceptive pathways
Decreased deep tendon reflexes
Decreased sensory conduction velocity
Agnosia Correct Answers Inability to recognize familiar
objects, tastes, sounds, and other sensations
Alzheimer diagnosis (5 As) Correct Answers Anomia
Apraxia
Agnosia
Amnesia
Aphasia
Also: decreased judgement, concentration, attention
,Amnesia Correct Answers Memory loss
Amylase normal range Correct Answers 30-220 u/L
Anomia Correct Answers Inability to remember names of
things
Anosmia Correct Answers Loss of sense of smell
Early sign of Parkinson's disease and Lewy body dementia
Anti-cancer drugs: adverse reactions/precautions Correct
Answers Bone marrow suppression
Anorexia
Nausea and vomiting
GI disturbances
Alopecia
Avoid pregnancy
Aphasia Correct Answers Inability to express oneself through
speech
Apneustic breathing Correct Answers Prolonged inspiratory
phase or pauses alternating with expiratory pauses
-Lesion of mid or lower pons
Apraxia Correct Answers Misuse of objects because of failure
to identify them
, Ataxic breathing Correct Answers Completely irregular with
some breaths deep and some shallow. Random irregular pauses,
slow rate.
-Reticular formation of the medulla
Autonomic dysreflexia Correct Answers Vasodilation above
level of injury
-Increased BP
-Flushed face
-Headache
-Distended neck veins
-Decreased HR
-Increased sweating
Vasoconstriction below level of injury
-Pale
-Cool
-No sweating
Autonomic dysreflexia risk Correct Answers Spinal cord
injury at T6 or higher
Triggered by sustained stimuli at T6 or below from:
-restrictive clothing
-Pressure areas
-Full bladder/UTI
-Fecal impaction
Basal ganglia Correct Answers Group of structures located
centrally in the cerebrum and mid brain
Initiation, execution, and completion of voluntary movements,
learning, emotional response, and autonomic movements
associated with skeletal muscle activity
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