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NR 325-Exam 2 Questions And Answers
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NR 325-Exam 2 Questions And Answers 2024-2025Normal intracranial pressurev (ICP) - Answer 5-15 mm Hg, if its above > 20 its elevated.
Normal Cerebral Perfusion pressure (CPP) - Answer 60-100 mm Hg
Decerebrate - Answer "e"; arms and legs held straight out, toes pointed downward,
head and neck being arched backward, muscles tightened and held rigidly.
Decorticate - Ans "c"; rigid with flexion of arms, fists clenched, extending the legs
straight out, arms are flexed toward the body, wrist and fingers are flexed and held on
the chest.
CM of increased intracranial pressure - Ans Change in LOC, lethargy, headache,
aphasia, seizures, Cushing's triage, ocular signs, unilateral pupil dilation, projectile
vomiting w/out nausea, decerebrate posturing.
Cushing's triage - Ans Inc BP, Dec HR, Dec respirations
Encephalitis - Answer Acute inflammation of the brain and spinal coed; caused by a
virus and can be FATAL
CM: fever, headache, seizures, rigidity, altered LOC, agitation, lethargy,
photosensitivity, N/V
Brain abscess - Answer Pus in the brain tissue
CM: headache, lethargy, drowsiness, confusion, depressed, infection
ALS (Lou Gehrig's Disease) - Answer Progressive degenerative neurological disease
with muscle weakness and there is no cure.
, Respiratory insufficiency, safety, diversional activities, death from pneumonia, suction
at bedside, upright to eat and 30 min. after, semisolid foods or NG tube feedings.
Bell's palsy - Answer Acute peripheral facial paralysis central or peripheral in origin;
inflammation of the CN VII on one side of the face in absence of another disease;
accompanied by herpes vesicles in/around the ears.
CM: drooping of the mouth, inability to close eye, loss of extensive tearing due to
lacrimal muscle weakness.
Surgery may be needed
Meningitis - Answer Inflammation of the brain covering.
Check the CSF, positive Kernig's and Brudzinski signs, put patient in a dark room, get a
family member to stay at the bedside since the patient is confused, bedrest.
Hepatitis A Answer Vaccine, self-limiting, incidence decreased with vaccine, fecal oral
route through contaminated food or drinking water.
Hepatitis B Answer Vaccine, transmitted through mucosal exposure to infectious blood,
blood products, body fluids.
Perinatally through mother to baby and other at risk are patient undergoing dialysis and
heath care/public safety workers.
Hepatitis C - Answer Most severe form; may cause cirrhosis, spread via IV drug use,
high risk sexual behavior, occupational exposure, dialysis, perinatal exposure, blood
transfusions prior to 1992.
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