NR 325 EXAM
(CHAMBERLAIN UNI)
QNS & ANS
2023/2024
, 1. Describe the initial interventions for treating a stroke (emergency management)
➢ Ensure patent airway ➢ Call stroke code or stroke team ➢ remove dentures ➢ Perform Pulse Ox ➢
Maintain adequate oxygen ➢ FLUIDS! ➢ TPA from 3-4 hr window ➢ Maintain BP -
antihypertensives ➢ Antiplatelets - aspirin ticlid, plavix ➢ Oral anticoagulants - warfarin (hx of afib),
Eliquis
2. Describe specific manifestations of right-brain stroke. ➢ Left side paralysis and weakness, Poor
judgment, impulse control, over estimated abilities ➢ left side neglect and hemiplegia ➢ spatial
orientation - Homonymous Hemianopsia (left side neglect) ➢ the left side is not seen
3. Describe the extent of injury for each spinal cord level C4 - tetraplegia - complete paralysis below the
neck ❖ C6 - partial paralysis of hands and arm and lower body ❖ T6 - paraplegia, results in paralysis
below the chest - bowel and balance issues ❖ L1 - paraplegia, results in paralysis below the waist - just
legs or hips, bladder and bowels
4. Describe the clinical manifestations and nursing management of the patient with viral Hepatitis B
(HBV) ❖ Assessment: malaise, weight loss, N/V, RUQ pain, jaundice, skin, rash, clay colored stools,
dark urine (icteric), dehydration ❖ Complications: Acute liver failure, chronic hep, cirrhosis, cancer ❖
Tests: CT of abdomen, ultrasound of liver/abdomen, Antigen/antibody testing, viral load, liver biopsy,
liver enzymes, bilirubin, ultrasound (decreased calcium) ❖ Labs: alt alp, amylase, bilirubin H&H ❖
Management: Rest nutrition,medications, education - no alcohol, don’t share needles, wash your hands,
etc.
5. What is the range of normal blood sugar? 70-100 mg/Dl
(CHAMBERLAIN UNI)
QNS & ANS
2023/2024
, 1. Describe the initial interventions for treating a stroke (emergency management)
➢ Ensure patent airway ➢ Call stroke code or stroke team ➢ remove dentures ➢ Perform Pulse Ox ➢
Maintain adequate oxygen ➢ FLUIDS! ➢ TPA from 3-4 hr window ➢ Maintain BP -
antihypertensives ➢ Antiplatelets - aspirin ticlid, plavix ➢ Oral anticoagulants - warfarin (hx of afib),
Eliquis
2. Describe specific manifestations of right-brain stroke. ➢ Left side paralysis and weakness, Poor
judgment, impulse control, over estimated abilities ➢ left side neglect and hemiplegia ➢ spatial
orientation - Homonymous Hemianopsia (left side neglect) ➢ the left side is not seen
3. Describe the extent of injury for each spinal cord level C4 - tetraplegia - complete paralysis below the
neck ❖ C6 - partial paralysis of hands and arm and lower body ❖ T6 - paraplegia, results in paralysis
below the chest - bowel and balance issues ❖ L1 - paraplegia, results in paralysis below the waist - just
legs or hips, bladder and bowels
4. Describe the clinical manifestations and nursing management of the patient with viral Hepatitis B
(HBV) ❖ Assessment: malaise, weight loss, N/V, RUQ pain, jaundice, skin, rash, clay colored stools,
dark urine (icteric), dehydration ❖ Complications: Acute liver failure, chronic hep, cirrhosis, cancer ❖
Tests: CT of abdomen, ultrasound of liver/abdomen, Antigen/antibody testing, viral load, liver biopsy,
liver enzymes, bilirubin, ultrasound (decreased calcium) ❖ Labs: alt alp, amylase, bilirubin H&H ❖
Management: Rest nutrition,medications, education - no alcohol, don’t share needles, wash your hands,
etc.
5. What is the range of normal blood sugar? 70-100 mg/Dl
