NUFT 351 CARDIAC-NEURO MEDSURGE 2
EXAM 1 TERMS QUESTIONS WITH
COMPLETE SOLUTIONS
Clinical Manifestations of Bacterial Meningitis - Answer-- Fever, Severe headache
- Nausea, vomiting
-Nuchal rigidity (neck stiffness)
- Photophobia (light sensitivity)
- Decreased LOC
- increased ICP with seizures occuring in 1/3
For bacterial meningitis, what VS must be assessed that is important? - Answer-
Temperature
HR
Health promotion for bacterial meningitis - Answer-Vaccinations for pneumonia and
influenza
Meningococcal vaccines
Early treatment for ear infections
Prophylactic antibiotics
Where would you find a supratentorial tumor? - Answer-Cerebrum
Manifestations of a supratentorial tumor? - Answer--severe headache
-vision changes
- seizures
-loss of movement
-cognitive function
-paralysis
Where would you find an infratentorial tumor? - Answer-Cerebellum
Manifestations of an infratentorial tumor? - Answer--hearing loss
-facial drooping
-dysphagia
-hemiparesis
-ataxia
Nursing Management for brain tumor - Answer-Maintain airway, safety and seizure
precaution
Administer O2, monitor lung sounds
Neurological status
, it is a transient episode of neurologic dysfunction caused by focal brain, spinal cord, or
retinal ischemia, but without acute infarction of the brain - Answer-Transient ischemic
attack
usually lasts less than 1hr
results from inadequate blood flow to the brain from partial or complete occlusion of an
artery - Answer-Ischemic stroke
occurs from injury to a blood vessel wall and formation of a blood clot - Answer-
Thrombotic stroke
Transiet Ischemic Attack Nursing Management - Answer-- Ask about pt hx and onset
symptoms
- Monitor VS
- Perform comprehensive neuro assessment
- Assist pt to STAT CT Head
- Administer oxygen at 2L
- Begin IV
- Hydrate pt after CT scan
- Monitor intake and output
- Preventing increased ICP
Treatment for SIADH in the brain - Answer-fluid restriction and treat the low sodium
(hyponatremia)
Complication of central nervous system disease - Answer-Cerebral Salt Wasting
Overproduction of CSF - Answer-Hydrocephalus
Treatment for Hydrocephalus - Answer-Surgery and shunting
A nurse is admitting a client who has a suspected myocardial infarction (MI) and a
history of angina. Which of the following findings will help the nurse distinguish stable
angina from an MI?
A. Stable angina can be relieved with rest and nitroglycerin
B. The pain of an MI resolves in less than 15min
C. The type of activity that causes an MI can be identified
D. Stable angina can occur for longer than 3min - Answer-A.
Stable angina can be relieved by rest and nitroglycerin
A nurse on cardiac unit is reviewing the laboratory findings of a client who has a
diagnosis of myocardial infarction (MI) and reports that his dyspnea began 2 weeks ago.
Which of the following cardiac enzymes would confirm the MI occurred 14 days ago?
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