Nur 265 exam - Study guides, Class notes & Summaries

Nur 265 Literally Exam 3. (Answered) Complete Solution The nurse is working in the emergency department (ED) is admitting a client who has sustained a traumatic brain injury (TBI) following a motor vehicle crash. It is priority for the nurse to notify the primary healthcare provider (PHCP) in the client: Takes prescribed warfarin daily. RATIONALE: Pg. 2400. Hemorrhage may occur as part of the primary injury and begin at the moment of impact. Warfarin is a blood thinner and the patient...

-decreased LOC(lethargy to coma) -restlessness, irritability, confusion -headache -projectile N&V -change in speech pattern/slurred speech -dilated nonreactive pupils or constructed nonreactive pupils -ataxia -seizure -abnormal posturing -Cushing's triad: severe HTN, widened pulse pressure, bradycardia Key sx of increased ICP - Symptoms of increased ICP -severe HTN, widened pulse pressure, bradycardia What is Cushing's triad - Most at risk during 1st 72 hours after stroke onset ...

What is encephalitis? - inflammation or infection of the brain What causes encephalitis? - West Nile Virus Herpes What are the s/s of encephalitis? - High fever, N/V, stiff neck Flu like symptoms change in LOC photophobia pupil changes (dilate & less responsive to light) What is used to dx encephalitis? - lumbar puncture EEG CT (looks for mass) What are N/I for encephalitis? - Neuro checks Monitor for s/s of ICP Suction only resp compromised HOB 30-45 Decrease stimuli What is the...

Exam 3: NUR265/ NUR 265 (Latest 2023/ 2024 Update) Advanced Concepts of Medical-Surgical Nursing Exam | Questions and Verified Answers| 100% Correct| Grade A - Galen Q: Which finding indicates to the nurse that a client with a burn injury has a positive perception of his appearance? Answer: Performing his own morning care. Indicators that the client with a burn injury has a positive perception of his appearance includes the willingness to touch the affected body part. Self-care activ...

ATI MEDSURG 2 NUR 265/DETAILED ANSWER KEY NEURO-SHOCK & BURNS PRACTICE 2024/2025. 1. A nurse in the emergency department is implementing a plan of care for a conscious client who has a suspected cervical cord injury. Which of the following immediate interventions should the nurse implement? (Select all that apply.) A. Hypotension B. Polyuria C. Hyperthermia D. Absence of bowel sounds E. Weakened gag reflex Rationale: <b>Hypotension is correct.</b> Lack of sympathetic input c...

What is nephrotic syndrome? - Correct Answer -A condition of increased glomerular permeability that allows larger molecules to pass through the membrane into the urine and then be excreted. What are key features of nephrotic syndrome? - Correct Answer --*Massive proteinuria* -*Hypoalbuminemia* -*Edema (facial and periorbital)* -Lipiduria -Hyperlipidemia -Increased coagulation -Reduced kidney function In nephrotic syndrome, severe protein loss in the urine is greater than what? - Corr...

NUR 265 Advanced Medical Surgical Nursing Complex Elimination Renal: Acute Kidney Injury- Abrupt loss of kidney function. It can happen in hours to days, Pathophysiology: Fluid and electrolyte imbalances occur. Labs and Diagnostics: GFR decreases. (90-120ml/min) Creatinine increase. (0.5-1.2mg/dl) protein breakdown. BUN increase. (10-20mg/dl) Hemoglobin- 12-18 Hematocrit- 37- 52 3 Types: Pre-Renal Causes: (Hypotension) The issue is before the kidney. (Impaired renal perfusion) Blood...