Exam (elaborations)
NUR170 Exam 2: Questions And Complete Answers
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NUR170 Exam 2: Questions And Complete Answers
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NUR170 Exam 2: Questions And Complete AnswersMigraines - pathophysiology Right Ans - Constriction/dilation of the
cerebral arteries in the brain. The cause of this is not fully known.
Migraines - Risk Factors Right Ans - Food triggers (chocolate, caffeine,
alcohol, artificial sweetners, MSG), Stress, smells, age, hormones, more
common in women
Migraines - S/S Right Ans - Pain, photophobia, phonophobia, aura, scalp
sensitivity
Migraines - Treatment Right Ans - medication, avoiding triggers, adjuvant
therapies
Migraines - Nursing Interventions Right Ans - dark, quiet room, cold
therapy, essential oils, adjuvant therapies
Migraines - Medications Right Ans - preventative: anti-convulsants, calcium
channel blockers, beta-blockers
abortive: caffeine, NSAIDS, Triptans
Botox injections, magnesium
Migraines - Patient Teaching Right Ans - Take medication as soon as you
feel a migraine coming on, take preventative meds daily.
Epilepsy/Seizures - Pathophysiology Right Ans - abnormal electrical
activity in the brain
Epilepsy/Seizures - Risk Factors/Causes Right Ans - alcohol/drug abuse, hx
of stroke, family hx, traumatic brain injury, sleep deprivation, stress, infection,
hypertension
Epilepsy/Seizures - Diagnostics Right Ans - EEG, CT, MRI, SPECT, PET
,Epilepsy/Seizures - Seizure management DURING Right Ans - Record time
it began and ended, types of movements, place pt on floor, continually assess
ABC's, maintain pt safety, loosen restrictive clothing, Benzos break the seizure
Epilepsy/Seizures - Seizure management AFTER Right Ans - Involves
reorientation, assess ABC's, side-lying position, suction secretions, no
restraints, loosen restrictive clothing, ensure patient safety, pad bed rails,
administer O2, patent IV
Epilepsy/Seizures - Treatment Right Ans - meds: pams, benzos, phenytoin
Epilepsy/Seziures - Patient Teaching Right Ans - 6months seizure free
before driving, medication compliance, follow up labs/neuro appts, medical
alert bracelt, decreasing triggers
Epilepsy/Seizures - S/S Right Ans - Loss of consciousness, involuntary
twitching/jerking/stiffening of the body
Multiple Sclerosis - Pathophysiology Right Ans - a progressive disease with
no cure that affects all body systems. it is an autoimmune issue that affects the
myelin sheath along the brain, optic nerve, and spinal cord (both sensory and
motor is affected)
Multiple Sclerosis - S/S (SENSORY) Right Ans - tinnitus, blurred vision,
diplopia, decreased visual acuity, vision loss, hyperalgesia, vertigo, hearing
loss, paresthesia, facial pain, decreased temp, memory loss
Multiple Sclerosis - S/S (MOTOR) Right Ans - motor weakness, fatigue,
stiffness of extremities, tremors, nystagmus, unsteady gait, cognitive
impairment, decreased bowel/bladder function
Multiple Sclerosis - Diagnostics Right Ans - MRI, cerebrospinal fluid
analysis (hard to diagnose in the beginning because symptoms are so vague)
Multiple Sclerosis - Treatment Right Ans - plasmapheresis, methotrexate,
NSAIDS, corticosteroids, cholinergic, anticholinergics, interferons
, Multiple Sclerosis - Risk Factors Right Ans - Infection, Stress (physical
injury, emotional stress, pregnancy, fatigue), autoimmune disease, ages 20-40,
commonly in adult white women
Multiple Sclerosis - Patient Teaching Right Ans - decrease stressors when
possible, prevent/treat/ recognize s/s of infections
Multiple Sclerosis - Nursing Interventions Right Ans - Interdisciplinary
care- OT, PT, Speech, Vision/Hearing
Peripheral Nerve Trauma - pathophysiology Right Ans - Damage to the
peripheral nerves
Peripheral Nerve Trauma - S/S Right Ans - Weakness, paralysis, burning
sensations, pain, skin/nail color changes, edema, impaired mobility, decreased
sensory perception
Peripheral Nerve Trauma - Diagnostics Right Ans - CT/X-ray
Peripheral Nerve Trauma - Treatment Right Ans - Corticosteroids,
analgesics, antibiotics
Peripheral Nerve Trauma - Patient Teaching Right Ans - follow therapies as
prescribed, inspect skin daily, application of immobility devices, s/s of
complications
Peripheral Nerve Trauma - complications Right Ans - permanent nerve
damage, amputation, infection
Parkinson's Disease - Pathophysiology Right Ans - progressive and chronic
disease with no cure. Lack of dopamine in the brain--affecting all body
systems including mood, personality, and mobility
Parkinson's Disease - S/S Right Ans - Bradykinesia, resting tremor, rigidity,
postural instability, shuffled gait, pill rolling, masked faces, dementia,
nighttime drooling, reduction of cognition
Parkinson's Disease - Risk Factors Right Ans - - Older men over 40
especially over the age of 60!
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