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NRNP 6645 Final Exam/ACTUAL 2024/2025 with well elaboratedquestions and answers $20.99   Add to cart

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NRNP 6645 Final Exam/ACTUAL 2024/2025 with well elaboratedquestions and answers

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NRNP 6645 Final Exam/ACTUAL 2024/2025 with well elaboratedquestions and answers 3% saline solution to correct hyponatremia 30-60 ml/hr q8 hr serum osmolality and Na+ fludrocortisone m/c medical complication in aneurysmal SAH - CORRECT ANSWERfever blast injury - CORRECT ANSWERhippocampus and...

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  • September 20, 2024
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  • 2024/2025
  • Exam (elaborations)
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  • NRNP 6645 2024/2025 with well e
  • NRNP 6645 2024/2025 with well e
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janetheuri
NRNP 6645 Final Exam/ACTUAL
2024/2025 with well elaborated-
questions and answers


3% saline solution to correct hyponatremia 30-60 ml/hr
q8 hr serum osmolality and Na+
fludrocortisone

m/c medical complication in aneurysmal SAH - CORRECT ANSWERfever

blast injury - CORRECT ANSWERhippocampus and brain stem

prehospital/emergancy department treatment for TBI - CORRECT ANSWERACLS
spinal immobilization
GCS <8 intubation
avoid hypoxemia o2 sat >90 PaO2 >60
avoid hyperventilation: goal ETCO2 or PaCO2 35-45

avoid hyperventilation in TBI unless: - CORRECT ANSWERherniation symptoms are
present of if measured ICP is severely high

AVPU - CORRECT ANSWERAwake, responsive to voice, responsive to pain,
unresponsive

Decorticate posturing - CORRECT ANSWERcharacterized by upper extremities flexed
at the elbows and held closely to the body and lower extremities that are externally
rotated and extended. occurs when the brainstem is not inhibited by the motor function
of the cerebral cortex.

Decerebrate posturing - CORRECT ANSWERposturing in which the neck is extended
with jaw clenched; arms are pronated, extended, and close to the sides; legs are
extended straight out; more ominous sign of brain stem damage. Most Severe.

lab studies for TBI - CORRECT ANSWERtoxicology drug and alcohol, CBC, chemistry,
coagulation

primary head injury - CORRECT ANSWERinvolves features that occur at the time of
trauma, including fractured skull, contusions, intracranial hematoma, and diffuse injury.
Secondary complications include hypoxic brain damage, increased ICP, infection,
cerebral edema, and posttraumatic syndromes.

, basilar fracture signs - CORRECT ANSWERanterior or posterior skull base

Sx's of basilar skull fracture - CORRECT ANSWERCN dysfunction
hemotympanum
battle sign - mastoid ecchymosis
raccoon eyes - periorbital ecchymosis
CSF leaking from ear or nose - + dextrostix, halo sign, salty taste in mouth, beta-2
transferrin
hearing loss

brain injury - CORRECT ANSWERconcussion, contusion, hematoma, subdural
hematoma, traumatic subarachnoid hemorrhage, diffuse axonal injury

concussion - CORRECT ANSWERcoup-contrcoup injuries; m/c found in the temporal
lobe

contusion - CORRECT ANSWERm/c seen lesions are in the orbitofrontal or anterior
temporal regions

Hematoma - CORRECT ANSWERepidural: m/c in the temporal/parietal region
Subdural hematoma: m/c caused by tearing of the bridging veins

acute subdural hematoma sxs - CORRECT ANSWERdrowsiness, agitation, and
confusion
HA
unilateral or bilateral pupil dilatation
hemiparesis
noncontrast CT
sx indications: >10mm thickness with >5mm midline shift regardless of GCS

chronic subdural hematoma sxs - CORRECT ANSWERHA
memory loss
personality changes
incontinence
ataxia
obtain CT scan
sx usually required, burr holes or craniotomy

traumatic subarachnoid hemorrhage - CORRECT ANSWERHA
reduced LOC
nuchal rigidity
hemiplegia
ipsilateral pupillary abnormalities
delayed vasospasm

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