NUR 170 EXAM 2 /NUR170 Exam 2 Actual Exam
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When should you call for a rapid response? -
....ANSWER.....✓✓When a patient has showed signs of
deterioration but still has a pulse and is breathing
What should the nurse do during the rapid response
before the team arrives? - ....ANSWER.....✓✓Stay with
the patient and assess vitals and ABC's. Call a code
blue if the patient stops breathing or looses a pulse.
When should you call a code blue? -
....ANSWER.....✓✓When the patient is not breathing and
does not have a pulse
When should you call for help? - ....ANSWER.....✓✓If you
need assistance but the patient is stable. For example,
patient is on the floor and you need another set of
hands.
Can migraines be genetic? - ....ANSWER.....✓✓Yes
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What are clusters caused by? - ....ANSWER.....✓✓An
overactive and enlarged hypothalamus
Are migraines more common in males or females? -
....ANSWER.....✓✓Females
Are clusters more common in males or females? -
....ANSWER.....✓✓Males
Describe the symptoms of a migraine. -
....ANSWER.....✓✓-Unilateral
- Throbbing pain
-Worse with movement
-Photophobia
-N&V
- Can last from 4-72 hours
Describe the symptoms of a cluster headache. -
....ANSWER.....✓✓- Unilateral
- Nonthrobbing, excruciating
- Felt deep around eye
- Rhinorrhea
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-Occurs at same time of day and on routine basis
-Facial edema
- Occurs usually in spring and fall
Where should you place a patient who is experiencing a
migraine? - ....ANSWER.....✓✓A dark, quiet room, and
laying flat
What are some triggers for migraines -
....ANSWER.....✓✓Caffeine
Red wine
Stress
MSG
Tyramine
What are some triggers for clusters -
....ANSWER.....✓✓Usually lifestyle related
-Stress, anger, anxiety
Can be different for each patient
What does an abortive treatment mean? -
....ANSWER.....✓✓Stop it before it starts (usually stop at
aura)