HONDROS NUR 176 EXAM 1
QUESTIONS AND ANSWERS
(LATEST)
Patient with head trauma experiencing drainage do you clean
orifices?
No. don't clean blood and serous drainage instruct patient to not
cough, sneeze, or blow the nose
Kernig's Sign
person lie flat on the back, flex the thigh so that it is at a right angle to
the trunk, and completely extend the leg at the knee joint. If the leg
cannot be completely extended due to pain A sign indicating the
presence of meningitis
Brudzinski's Sign
Severe neck stiffness causes a patient's hips and knees to flex when
the neck is flexed.
Patient ICP has increased and ordered a lumbar puncture to
diagnosis meningitis would puncture be preformed?
No. Page 1947 Copper
encephalitis
inflammation of the brain tissue.
What neurotransmitter primarily affects motor function and is
involved in gross subconscious movements of the skeletal
muscles?
Dopamine
,The nurse is caring for a patient who is being evaluated for a
neurologic disorder. She is not able to comprehend the written or
spoken word. Which term would the nurse use to document this
problem?
Global aphasia (Global aphasia is the inability to understand the
spoken word or to speak)
The nurse will implement which of these nursing interventions for
the patient with increased intracranial pressure?
Teach patient to avoid Valsalva maneuver.
Position patient to avoid flexion of hips, waist, and neck.
Suction only as necessary, but no longer than 10 seconds.
Place neck in neutral position. Page 1915
Two vaccines for meningitis for children
meingoccal polysaccharide (Menomune) and quadrivlant
menigococcal conjugate (Menactra)
Dysarthria
often is characterized by slurred or slow speech that can be difficult to
understand. Common causes of dysarthria include nervous system
(neurological) disorders such as stroke, brain injury, brain tumors, and
conditions that cause facial paralysis or tongue or throat muscle
weakness.
Interventions to prevent diabetes
Maintain healthy weight, diet and exercise
Signs of type 1 diabetes
, 3 polys, blurred vision, cold feet, numbness, shiny thin skin w/ no
hair, age 30 and under, sudden onset, underweight,
Signs of type 2 diabetes
No symptoms at first , later develop the 3 polys, obesity, Nigricans
(black line on back of neck) skin tags
S/S of hypoglycemia
Fatigue, weakness, irritability, reduce cognition, tremors, seizures,
diaphoresis( sweating)
S/S of hyperglycemia
3 polys, fruity breath
S/S of diabetic ketoacidosis and treatment
High BS, high HR, restlessness, weight loss, fruity breath,
kussmaul(fast deep RR) -- treatments; IV regular insulin
First intervention if a pt. Presents with s/s of hypo/hyperglycemia
Check blood sugar
Prevention of long term complications of diabetes
Takes meds, daily feet care, yearly renal test, eye exams every 6
months, LDL less than 150
Dietary teaching for a diabetic patient
Meals at the same time every day, decrease saturated fats, increase
exercise , refer pt. To MyPlate learning tool,
Diabetic Pt. should never increase carbs unless...
Sugar is low before exercising
Discharge teaching for diabetic pt.
QUESTIONS AND ANSWERS
(LATEST)
Patient with head trauma experiencing drainage do you clean
orifices?
No. don't clean blood and serous drainage instruct patient to not
cough, sneeze, or blow the nose
Kernig's Sign
person lie flat on the back, flex the thigh so that it is at a right angle to
the trunk, and completely extend the leg at the knee joint. If the leg
cannot be completely extended due to pain A sign indicating the
presence of meningitis
Brudzinski's Sign
Severe neck stiffness causes a patient's hips and knees to flex when
the neck is flexed.
Patient ICP has increased and ordered a lumbar puncture to
diagnosis meningitis would puncture be preformed?
No. Page 1947 Copper
encephalitis
inflammation of the brain tissue.
What neurotransmitter primarily affects motor function and is
involved in gross subconscious movements of the skeletal
muscles?
Dopamine
,The nurse is caring for a patient who is being evaluated for a
neurologic disorder. She is not able to comprehend the written or
spoken word. Which term would the nurse use to document this
problem?
Global aphasia (Global aphasia is the inability to understand the
spoken word or to speak)
The nurse will implement which of these nursing interventions for
the patient with increased intracranial pressure?
Teach patient to avoid Valsalva maneuver.
Position patient to avoid flexion of hips, waist, and neck.
Suction only as necessary, but no longer than 10 seconds.
Place neck in neutral position. Page 1915
Two vaccines for meningitis for children
meingoccal polysaccharide (Menomune) and quadrivlant
menigococcal conjugate (Menactra)
Dysarthria
often is characterized by slurred or slow speech that can be difficult to
understand. Common causes of dysarthria include nervous system
(neurological) disorders such as stroke, brain injury, brain tumors, and
conditions that cause facial paralysis or tongue or throat muscle
weakness.
Interventions to prevent diabetes
Maintain healthy weight, diet and exercise
Signs of type 1 diabetes
, 3 polys, blurred vision, cold feet, numbness, shiny thin skin w/ no
hair, age 30 and under, sudden onset, underweight,
Signs of type 2 diabetes
No symptoms at first , later develop the 3 polys, obesity, Nigricans
(black line on back of neck) skin tags
S/S of hypoglycemia
Fatigue, weakness, irritability, reduce cognition, tremors, seizures,
diaphoresis( sweating)
S/S of hyperglycemia
3 polys, fruity breath
S/S of diabetic ketoacidosis and treatment
High BS, high HR, restlessness, weight loss, fruity breath,
kussmaul(fast deep RR) -- treatments; IV regular insulin
First intervention if a pt. Presents with s/s of hypo/hyperglycemia
Check blood sugar
Prevention of long term complications of diabetes
Takes meds, daily feet care, yearly renal test, eye exams every 6
months, LDL less than 150
Dietary teaching for a diabetic patient
Meals at the same time every day, decrease saturated fats, increase
exercise , refer pt. To MyPlate learning tool,
Diabetic Pt. should never increase carbs unless...
Sugar is low before exercising
Discharge teaching for diabetic pt.
