Chamberlain NR 325 Exam 2, NR 325 Exam #2
_____ _____ are abnormal respirations characterized by alternating periods of apnea and deep,
rapid breathing - ANS-Cheyne-Stokes
_____ _____ are dilated, tortuous veins occurring in the lower part of the esophagus because of
portal hypertension, and are a common complication of liver cirrhosis. - ANS-Esophageal
varices
_____ _____ involvement results in a mixed loss of voluntary motor activity and sensation and
leaves some tracts intact. - ANS-Incomplete cord
_____ _____ involvement results in total loss of sensory and motor function below the level of
injury. - ANS-Complete cord
_____ _____ 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. - ANS-Hepatic encephalopathy
_____ _____ is an irreversible loss of all brain functions, including those of the brainstem, and is
a clinical diagnosis. It occurs when the cerebral cortex stops functioning or is irreversibly
destroyed. - ANS-Brain death
_____ _____ is an option for patients who have esophageal varices bleeding that is
unresponsive to band ligation or sclerotherapy. When _____ _____ is used, explain to the
patient and caregiver the use of the tube and how the balloon is inserted. Check the balloons for
patency. - ANS-Balloon tamponade
_____ _____ is any form of care or treatment that focuses on reducing the severity of disease
symptoms. - ANS-Palliative care
_____ _____ is described as systolic hypertension with a widening pulse pressure, bradycardia
with a full and bounding pulse, irregular respirations - ANS-Cushing's triad
_____ _____ is usually detected as a lump or thickening in the breast or mammography
abnormality. It occurs most often in the upper, outer quadrant of the breast, which is the location
of most of the glandular tissue - ANS-Breast cancer
_____ _____ 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. - ANS-Spinal
shock
,_____ _____ requires ABX therapy and respiratory isolation until the cultures are negative. -
ANS-Bacterial meningitis
_____ _____ typically has no symptoms in the early stages. Eventually, the patient may have
lower urinary tracts symptoms similar to those of BPH. Pain in the lumbosacral area that
radiates down to the hips or the legs, when combined with urinary symptoms, may indicate
metastasis. - ANS-Prostate cancer
_____ allows the patient to move and ambulate while cervical bones fuse - ANS-Halo fixation
device
_____ are the confirming diagnostic studies for stroke. - ANS-CT; CT angiogram; CT/MRI
perfusion and diffusion imaging; MRI; Magnetic resonance angiography (MRA)
_____ are the confirming laboratory studies for stroke. - ANS-Prothrombin time, activated partial
thromboplastin time; CBC (including platelets); Electrolyte panel with blood glucose; Lipid
profile; Renal and hepatic studies
_____ can be transmitted in several ways: (1) perinatally from mothers infected to their infants;
(2) percutaneously (e.g., IV drug use, accidental needle-stick punctures); or (3) via small cuts on
mucosal surfaces and exposure to infectious blood, blood products, or other body fluids (e.g.,
semen, vaginal secretions, saliva). - ANS-Hepatitis B virus (HBV)
_____ focuses on physical and psychosocial needs for the patient and family. - ANS-End of life
care
_____ is a blood-borne pathogen that can cause either acute or chronic hepatitis. -
ANS-Hepatitis B (HBV)
_____ is a condition in which the prostate gland increases in size, disrupting the outflow of urine
from the bladder through the urethra. - ANS-Benign prostatic hyperplasia (BPH)
_____ is a surgical procedure involving the removal of prostate tissue using a resectoscope
inserted through the urethra. - ANS-Transurethral resection of the prostate (TURP)
_____ is a written physician's order instructing HCPs not to attempt CPR. - ANS-Do Not
Resuscitate (DNR)
_____ is an osmotic diuretic given IV, and decreases ICP in 2 ways: plasma expansion and
osmotic effect. - ANS-Mannitol
_____ is an RNA virus that is blood-borne and primarily transmitted percutaneously. The most
common mode of HCV transmission is the sharing of contaminated needles and equipment
among injection drug users. High-risk sexual behavior (e.g., unprotected sex, multiple partners),
, especially among MSM, is associated with increased risk for transmission. - ANS-Hepatitis C
virus (HCV)
_____ is another option to treat increased ICP. It produces massive movement of water out of
edematous swollen brain cells and into blood vessels. - ANS-Hypertonic saline solution
_____ is given IV to reestablish blood flow through a blocked artery to prevent cell death in
patients with the acute onset of ischemic stroke, must be given within 3 to 4½ hours of the onset
of signs of ischemic stroke. - ANS-tPA
_____ is transmitted primarily through the fecal-oral route. It often occurs in small outbreaks
caused by fecal contamination of food or drinking water. Poor hygiene, improper handling of
food, crowded situations, and poor sanitary conditions are contributing factors. - ANS-Hepatitis
A virus (HAV)
_____ is used to assess soft tissue injury, neurologic changes, unexplained neurologic deficits,
or worsening neurologic condition in SCI. - ANS-MRI
_____ pain has a sudden onset. It is described as severe, deep, piercing, and continuous or
steady. Eating worsens the pain. - ANS-Pancreatitis
_____ results in the replacement of liver tissue by fibrosis (scar tissue) and regenerative
nodules that occur from the liver's attempt to repair itself - ANS-cirrhosis
_____, a drug that traps ammonia in the gut, reduces ammonia formation in the intestines. This
drug's laxative effect expels the ammonia from the colon. - ANS-Lactulose
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:
• Redness, swelling, bile-colored drainage or pus from any incision
• Severe abdominal pain, nausea, vomiting, fever, chills
3. You can gradually resume normal activities.
4. Return to work within 1 wk of surgery.
5. You can resume your usual diet, but a low-fat diet is usually better tolerated for several weeks
after surgery. - ANS-PT education for lap cholecystectomy
A _____ order is a written medical order that documents a patient's wishes about resuscitation
and, more important, the patient's desire to avoid CPR. - ANS-Do Not Resuscitate (DNR)
A characteristic manifestation of hepatic encephalopathy is _____, or flapping tremors, with the
most common involving the arms and hands. - ANS-asterixis
Acetaminophen (Tylenol) - ANS-• Drug is safe if taken at recommended levels. However, its
prevalence in a variety of pain relievers, fever reducers, and cough medicines may mean that
