Exam 3 RNSG 1538 intracranial regulation Questions Answered Correctly
Tonic - AnswersALOC, dilated pupils, muscular tightening
Clonic seizures - AnswersRepetitive movements
Symptoms at the end of a seizure - AnswersConfusion, drowsiness, resumption respiration
Partial seizure - AnswersJerking in extremity and spreading to other areas of the body
Complex seizure - AnswersFacial grimacing, patting and smacking
Prior to Electrocenography - AnswersAvoid caffeine, allowed to eat a meal as it can alter brain waves if
omitted
Helps with seizure but does not minimize risk - AnswersBed rest, sedation
Carbamazepine - AnswersAnticonvulsant prevents further seizures
Eye movement and muscle rigidity - AnswersPriority of nurse observation during a seizure to gain insight
on clues and triggers of the seizure,
Medical management of seizures - AnswersBarbiturates, benzodiazepines, phenytoin Dilantin, valproic
acid
Common side effects of seizure medications - AnswersBirth defects
Monitor liver levels , wbcs, and platelets, anticonvulsants - AnswersWhat are nursing interventions for
valproic acid
gingival hyperplasia, bone marrow suppression, anticonvulsant - AnswersWhat is a side effects of
phenytoin Dilantin?
Diet for seizures - Answersketogenic heavy fats low carbs in order for body to produce ketones out of
the proteins and in which reduces seizures
Care of patient during and after a seizure - AnswersAvoid putting fingers in mouth, remove pillows, raise
side rails, ease to the floor if not on bed, protect head from injury, no restrictive clothing, place on side
with head flexed forward
After a seizure - AnswersPrevent aspiration , hypoxia, vomiting, have suctioning ready, bed to the lowest
position and padded flooring
Nursing interventions for seizures - AnswersAssess vitals, neuro, draw blood levels, document seizure
characteristics, give medications, ECG
, Status epilepticus - AnswersActivate rapid response team, stop seizure, iv diazepam, lorazepam, Ativan ,
airway et tube, labs, vitals and neurology
Hormonal shifts and OCP - AnswersWhat can cause a seizure ?
Diazepam and Ativan - AnswersWhat can stop seizures immediately and is used for static epilepsy ?
modifiable Risk factors for stroke - AnswersHypertension, elevated hemoglobin, cholesterol levels,
sedentary lifestyle, smoking and alcohol, promote exercise, cardiovascular disease (a fib, carotid
stenosis), obesity, sleep apnea, diabetes, oral contraceptive use,
Non modifiable risk factors for stroke - Answersage, african american race, family history
Diagnostics for stroke: - AnswersCt scan, MRI of brain and vessels, TPA
Diagnostics for stroke - AnswersEKG
Diagnostics for stroke - AnswersCarotid Ultrasound, Ct Angioapraghy
thrombolytic therapy - AnswersGoal: dissolve clot
Needs: BP maintained >180/105
S/E: bleeding
Use diuretics osmostically like mannitol, ) o2, HOB at 30 degrees, hemicraniectomy, intubation, frequent
neuro checks - AnswersWhat are nursing interventions to decrease ICP?
Removal of cholesterol in veins, surgical process - AnswersWhat is carotid endarectomy?
Risk factors for hemorrhagic stroke - AnswersAneurysm, trauma, HTN
Worse headache in their life, change in LOC, Vomiting, pain and rigidity in neck - AnswersWhat are signs
of a hemorrhagic stroke?
Complications of Strokes - AnswersCerebral hypoxia, intense headache with ALOC, vasospasm, aphasia,
partial paralysis, Seizures, hydrocephalus, hyponatremia
Medical management for Hemorrhagic Stroke - AnswersBed rest, anticoagulants, check PT time, Dilantin
for seizures, anticonvulsants, prevent DVT's Fever,
Septic Meningitis - Answersbacterial
Aseptic Meningitis - Answersviral meningitis
Pathophysiology of Meningitis - Answersorganism enters the bloodstream crossing the BB barrier and
proliferates in CSF resulting in inflammation of subarachonoid and pia mater
Risk factors of meningitis - AnswersMumps , measles, herpes, and west nile
Tonic - AnswersALOC, dilated pupils, muscular tightening
Clonic seizures - AnswersRepetitive movements
Symptoms at the end of a seizure - AnswersConfusion, drowsiness, resumption respiration
Partial seizure - AnswersJerking in extremity and spreading to other areas of the body
Complex seizure - AnswersFacial grimacing, patting and smacking
Prior to Electrocenography - AnswersAvoid caffeine, allowed to eat a meal as it can alter brain waves if
omitted
Helps with seizure but does not minimize risk - AnswersBed rest, sedation
Carbamazepine - AnswersAnticonvulsant prevents further seizures
Eye movement and muscle rigidity - AnswersPriority of nurse observation during a seizure to gain insight
on clues and triggers of the seizure,
Medical management of seizures - AnswersBarbiturates, benzodiazepines, phenytoin Dilantin, valproic
acid
Common side effects of seizure medications - AnswersBirth defects
Monitor liver levels , wbcs, and platelets, anticonvulsants - AnswersWhat are nursing interventions for
valproic acid
gingival hyperplasia, bone marrow suppression, anticonvulsant - AnswersWhat is a side effects of
phenytoin Dilantin?
Diet for seizures - Answersketogenic heavy fats low carbs in order for body to produce ketones out of
the proteins and in which reduces seizures
Care of patient during and after a seizure - AnswersAvoid putting fingers in mouth, remove pillows, raise
side rails, ease to the floor if not on bed, protect head from injury, no restrictive clothing, place on side
with head flexed forward
After a seizure - AnswersPrevent aspiration , hypoxia, vomiting, have suctioning ready, bed to the lowest
position and padded flooring
Nursing interventions for seizures - AnswersAssess vitals, neuro, draw blood levels, document seizure
characteristics, give medications, ECG
, Status epilepticus - AnswersActivate rapid response team, stop seizure, iv diazepam, lorazepam, Ativan ,
airway et tube, labs, vitals and neurology
Hormonal shifts and OCP - AnswersWhat can cause a seizure ?
Diazepam and Ativan - AnswersWhat can stop seizures immediately and is used for static epilepsy ?
modifiable Risk factors for stroke - AnswersHypertension, elevated hemoglobin, cholesterol levels,
sedentary lifestyle, smoking and alcohol, promote exercise, cardiovascular disease (a fib, carotid
stenosis), obesity, sleep apnea, diabetes, oral contraceptive use,
Non modifiable risk factors for stroke - Answersage, african american race, family history
Diagnostics for stroke: - AnswersCt scan, MRI of brain and vessels, TPA
Diagnostics for stroke - AnswersEKG
Diagnostics for stroke - AnswersCarotid Ultrasound, Ct Angioapraghy
thrombolytic therapy - AnswersGoal: dissolve clot
Needs: BP maintained >180/105
S/E: bleeding
Use diuretics osmostically like mannitol, ) o2, HOB at 30 degrees, hemicraniectomy, intubation, frequent
neuro checks - AnswersWhat are nursing interventions to decrease ICP?
Removal of cholesterol in veins, surgical process - AnswersWhat is carotid endarectomy?
Risk factors for hemorrhagic stroke - AnswersAneurysm, trauma, HTN
Worse headache in their life, change in LOC, Vomiting, pain and rigidity in neck - AnswersWhat are signs
of a hemorrhagic stroke?
Complications of Strokes - AnswersCerebral hypoxia, intense headache with ALOC, vasospasm, aphasia,
partial paralysis, Seizures, hydrocephalus, hyponatremia
Medical management for Hemorrhagic Stroke - AnswersBed rest, anticoagulants, check PT time, Dilantin
for seizures, anticonvulsants, prevent DVT's Fever,
Septic Meningitis - Answersbacterial
Aseptic Meningitis - Answersviral meningitis
Pathophysiology of Meningitis - Answersorganism enters the bloodstream crossing the BB barrier and
proliferates in CSF resulting in inflammation of subarachonoid and pia mater
Risk factors of meningitis - AnswersMumps , measles, herpes, and west nile
