MDC 4 FINAL EXAM Complete, Latest 2022.
MDC 4 FINAL EXAM 1. You witness a patient with stiffening and/or rigidity of muscles, especially arms and legs, with immediate loss of consciousness. What type of seizure? - 2. You witness a patient with rhythmic jerking/relaxing of all extremities. What type of seizure? - 3. You witness a patient with a sudden loss of muscle tone lasting a few seconds, the patient dropped to the floor. What type of seizure? - 4. A patient is in recovery after a seizure, they are a bit confused and their brain is recovering. May last minutes to hours. What phase of seizure? - 5. A 25-year-old female is prescribed Phenytoin Sodium (seizure medication). What is an example of patient education for this specific population of patients? - 6. Bradykinesia, muscle rigidity, and masklike face are clinical manifestations of: - 7. The initial concern for a patient with Parkinson's disease is safety due to: - 8. A 30-year-old woman is experiencing double vision, trigeminal neuralgia, ataxia, and spasms. What do you suspect? - 9. What medication is often used to treat spasms in a patient with multiple sclerosis? - 10. A patient arrives in the ER with ascending paralysis. What do you suspect? - 11. A patient arrives in the ER with a diagnosis of Guillain-Barre Syndrome. As the nurse, you monitor for which complication due to ascending paralysis? - 12. What time of illness is believed to contribute to developing Guillain-Barre Syndrome? - 13. A patient is experiencing a seizure that lasts longer than 5 minutes. What is this called and what type of medication do you expect to give? - 14. A patient with a history of seizures is prescribed Dilantin. What is important patient teaching about this medication? - 15. A patient is taking seizure medications for 6 months and states "I have not had a seizure since starting this medication." Important patient education: - 16. What is the normal phenytoin level? - 17. A patient is scheduled for an EEG tomorrow morning. The nurse should advise them: - 18. A patient with parkinson's disease is prescribed a MAO B inhibitor. Important nursing education: - 19. A patient with Parkinson's disease is experiencing bradykinesia. We can assist them with getting up from a chair by: - 20. A patient comes into the ER with a T6 injury. As the nurse, you know they are at risk for autonomic dysreflexia which can be caused by: 21. A nurse can prevent autonomic dysreflexia by: - 22. A patient with a spinal cord injury is fitted for a halo device. Important patient teaching: - 23. A patient with a spinal cord injury is fitted for a halo device. Important nursing interventions: - 24. A patient arrives in the ER with a suspected spinal cord injury due to a motor vehicle accident. Priority nursing intervention: - 25. The family of a patient with Alzheimer's disease expresses concerns and feelings of anxiety. Important family education: - 26. What are the 3 components of the glasgow coma scale? - 27. What is the range of the glasgow coma scale? 28. What type of postering is extended supination with dorsiflexion? - 29. What type of postering is flexion with plantar flexion? - 30. What is the priority assessment question after a thrombolytic stroke? 31. A patient arrives in the ER with a suspected stroke. Important nursing assessment for first 24 hours: 32. A patient arrives to the ER after having a stroke. What are safe feeding interventions? 33. A patient arrives to the ER with complaints of the "worst headache they have ever experienced." What type of stroke would you suspect? - 34. Hemianopsia mealtime nursing interventions: - 35. Nursing intervention to decrease ICP while repositioning patient: - 36. A patient with a head injury arrives to the ER with clear drainage from nose/ears. You suspect it is cerebral spinal fluid. What are the common CSF Characteristics: - 37. Following a traumatic brain injury, what is the goal for the patient with rehab? - 38. Myasthenia Gravis: medication patient education: 39. In addition to viruses, a contributing factor to Guillain-Barre Syndrome is: - 40. Roles of RN with Informed Consent: 41. True or False: If a patient is confused or has dementia, the spouse can sign the informed consent: 42. Informed consent situations that call for two signatures: Blind/deaf 43. Patient positioning factors for surgery: 44. What are the s/s of pulmonary embolism? 45. A patient preparing for surgery advises you that they have not adhered to NPO status. What do you do? 46. A patient preparing for colonoscopy states they did not do their intestinal preparation. What do you do? 47. A female pre-op patient states that she is experiencing menses at the current time. This is an important reportable finding due to: 48. While performing a surgical Incision assessment, you would report this type of drainage: 49. A Jackson Pratt drain functions when: 50. Indication to trigger the Rapid Response Team: 51. Duties that can be delegated to UAP: 52. Duties that can NOT be delegated to UAP: - Medication Assessment (skin) Invasive Procedures 53. terile procedures 54. Meningitis S/S: 55. A patient arrives at the ER with an open pneumothorax. You know that the medical intervention will be a chest tube. They have an open airway. What is the priority nursing intervention? 56. Emergency treatment for a tension pneumothorax? 57. A hallmark s/s of a pneumothorax includes: 58. Nursing care of Sucking wound to the chest: 59. Rib Fracture S/S, assessment, clinical manifestation: 60. Flail Chest S/S, assessment, clinical manifestation: 61. Flail Chest priority treatment: 62. Acute Respiratory Distress Syndrome clinical manifestations: - Noncardiogenic Pulmonary Edema Refractory hypoxemia Tx of patients on a vent: Priority Nursing Action: Prevention of ventilator acquired pneumonia: - Tx of patients on a vent and troubleshooting measures: lungs FIRST Tx of patients on a vent and troubleshooting measures: High-pressure alarm - 63. Tx of patients on a vent and troubleshooting measures: 64. Nursing Interventions, Emergency actions at the scene (in the field): - 65. When initiating fluid replacement for a burn patient, the usual solution is lactated ringers. The patient asks how you are going to choose the fluid type. Your response: 66. A patient is recovering from a burn and is receiving fluid replacement. What is the best indicator of adequate resuscitation? 67. A patient is recovering from a burn injury and they are undergoing fluid resuscitation. Their urine output is 20ml/hr. Which order by the provider would you question? 68. What type of dressing does a burn wound receive? 69. It is a common misconception that burn patients receive a tetanus vaccine routinely but this is: 70. A burn patient is at risk for curling ulcers. We can provide prophylactic treatment with: 71. What are the S/S of inhalation injury? 72. What is a hallmark clinical manifestation of carbon monoxide poisoning? 73. Priority care for the acute phase of burn injury: 74. A burn patient is receiving narcotics for pain during recovery. It is important to monitor for which side effect? 75. What is the parkland formula? 76. How do you calculate the Mean arterial pressure? 77. A patient presents with Anaphylactic shock. The clinical manifestations that you expect: 78. A patient is in Anaphylactic shock. What is the emergency treatment? 79. A patient is preparing for surgery and you need to assess for indications of Latex allergy. What puts them at risk/predisposing factors: 80. A patient arrives on the unit in Hypovolemic Shock. Upon assessment, you expect to see: 81. A patient arrives in the ER in Hypovolemic Shock. They are bleeding profusely. What is your first intervention: 82. A patient arrives in Hypovolemic Shock and you have begun fluid replacement. 83. How do you assess adequate fluid resuscitation: 84. Septic Shock clinical manifestations, reportable events, interventions, medications: CALL RAPID RESPONSE! 85. A patient's vital signs are trending in a negative direction. You should first: You discover a medication error has occurred. What is the first nursing intervention? 86. While doing your nursing assessment, you discover one of the patient's vital signs is in a critical range. What do you do next? 87. A patient presents to the ER after being stuck out in the cold. They are experiencing pain, numbness and pallor that is relieved by applying warmth. What do you suspect? 88. A patient arrives to the ER with 1st degree Frostbite. What assessment findings do you expect? 89. A patient arrives to the ER with 2nd degree Frostbite. What assessment findings do you expect? 90. A patient arrives to the ER with 3rd degree Frostbite. What assessment findings do you expect? 91. A patient arrives to the ER with 4th degree Frostbite. What assessment findings do you expect? 92. A patient arrives to the ER with frostbite and asks what degree it is. What is your response? 93. When a patient experiences 4th-degree frostbite, when can gangrene occur? 94. A patient arrives to the ER with frostbite. What treatments do you expect to provide? Loose, non-adherent sterile dressing 95. Heat exhaustion is a syndrome resulting from: 96. A patient arrives to the ER with a Heat Stroke. The clinical manifestations you expect to see: 97. A patient arrives to the ER with hypovolemic shock and heat stroke. What do you do first? 98. A patient arrives in the ER with heat stroke. What are the treatments you expect: 99. A patient arrives in the ER with heat exhaustion. What patient education will help prevent this in the future? 100. True or False: Salt & freshwater cause alveolar damage, and pulmonary edema. "PASS" Fire - Pull Aim Squeeze Sweep "RACE" Fire - RESCUE ALARM CONFINE EXTINGUISH/EVACUATE Concepts of Triage: - More than once Sorting & initial surveillance Severity of illness dictates Greater good of the greater number of patients Triage Tags - Black: Deceased Red: ABC's Yellow: Fracture Green: Walking wounded 3 Tiered Triage: Severity : Emergent Life-Threatening - Respiratory distress, chest pain, stroke, unstable vital signs 3 Tiered Triage: Severity : Urgent - Severe abdominal pain, renal colic, displaced fractures, pneumonia in older adults 3 Tiered Triage: Severity : Non-Urgent - Skin rashes, strains, sprains, colds
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- NUR 4323/ MDC 4 FINAL EXAM (NUR4323)
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- 4 januari 2022
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nur 4323
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mdc 4 final exam
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especially arms and legs
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you witness a patient
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you witness a patient with stiffening andor rigidity of muscles
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with immediate loss of consciousness
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what type of seizure
