Exam (elaborations)
Chamberlain NR 325 Exam 2 study guide
- Course
- Institution
Chamberlain NR 325 Exam 2 study guide
[Show more]
Content preview
Chamberlain NR 325 Exam 2 study guideWhich sided stroke has impaired speech/language aphasia; impaired right/left discrimination;
slow performance/cautious,; depression/anxiety; impaired comprehension. - ANS Left-Sided
Which sided stroke has spatial perception deficits; denying/minimizing; rapid performance/short
attention; impulsiveness; impaired judgment; impaired time. - ANS Right-sided
_____ 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
Recombinant tissue plasminogen activator (tPA) is used to produce localized fibrinolysis by
binding to the fibrin in the thrombi, and is the immediate treatment for _____ _____. - ANS
Ischemic stroke
Aspirin at a dose of 325 mg may be started within 24 to 48 hours after the onset of an _____
stroke. - ANS ischemic
Anticoagulants and platelet inhibitors are contraindicated in patients with _____ strokes. - ANS
hemorrhagic
The main drug therapy for patients with _____ stroke is the management of hypertension. -
ANS hemorrhagic
The _____ _____ of a spinal cord injury (SCI) is initial physical disruption of the spinal cord. -
ANS primary injury
The _____ _____ of a spinal cord injury is from processes, such as ischemia, hypoxia,
hemorrhage, edema - ANS secondary injury
_____ _____ 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
_____ _____ involvement results in total loss of sensory and motor function below the level of
injury. - ANS Complete cord
, _____ _____ involvement results in a mixed loss of voluntary motor activity and sensation and
leaves some tracts intact. - ANS Incomplete cord
SCI at C1-C3 - ANS Often fatal; Movement in neck and above, loss of innervation to
diaphragm, absence of independent respiratory function
SCI at C4 - ANS Sensation and movement in neck and above; May be able to breathe without
ventilator
SCI at C5 - ANS Full neck, partial shoulder, back, biceps; Gross elbow, inability to roll over or
use hands; ↓ Respiratory reserve
SCI at C6 - ANS Shoulder and upper back abduction and rotation at shoulder; Full biceps to
elbow flexion, wrist extension, weak grasp of thumb; ↓ Respiratory reserve
SCI at C7-C8 - ANS All triceps to elbow extension, finger extensors and flexors; Good grasp
with some decreased strength; ↓ Respiratory reserve
SCI at T1-T6 - ANS Full innervation of upper extremities; Back, essential intrinsic muscles of
hand; Full strength and dexterity of grasp; ↓ Trunk stability, decreased respiratory reserve
SCI at T6-T12 - ANS Full, stable thoracic muscles and upper back; Functional intercostal
muscles, resulting in ↑ respiratory reserve
SCI at L1-L2 - ANS Varying control of legs and pelvis; Instability of lower back
SCI at L3-L4 - ANS Quadriceps and hip flexors; Absence of hamstring function, flail ankles
CT scan is the preferred imaging study to diagnose the location and degree of injury and the
degree of _____ _____ _____. - ANS spinal canal compromise
_____ is used to assess soft tissue injury, neurologic changes, unexplained neurologic deficits,
or worsening neurologic condition in SCI. - ANS MRI
Goals immediately after _____ include maintaining a patent airway, adequate
ventilation/breathing, and adequate circulating blood volume (ABCs) and preventing extension
of spinal cord damage (secondary injury). - ANS SCI
_____ allows the patient to move and ambulate while cervical bones fuse - ANS Halo fixation
device
One of the physically demonstrable symptoms of meningitis is _____ _____. Severe neck
stiffness causes a patient's hips and knees to flex when the neck is flexed. - ANS Brudzinski's
sign
The benefits of buying summaries with Stuvia:
Guaranteed quality through customer reviews
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying these notes from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller excellentrevision964. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $10.49. You're not tied to anything after your purchase.
Can Stuvia be trusted?
4.6 stars on Google & Trustpilot (+1000 reviews)
75759 documents were sold in the last 30 days
Founded in 2010, the go-to place to buy study notes for 14 years now