Term
| In a patient with altered level of consciousness, what is your first priority? |
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Definition
| Maintain the patent airway. |
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Term
| When assessing a patient with altered LOC, what would you use? |
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Definition
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Term
| On a patient who is receiving IV fluids and is at risk for fluid overload, what would you want to monitor? |
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Definition
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Term
| A patient has a MAP of 80 and an ICP of 20, what would their CPP be considered? |
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Definition
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Term
| What is an early sign of increased ICP? |
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Definition
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Term
| When assessing a patient who had ICP monitoring, what would you want to use? |
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Definition
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Term
| When assessing a patient who has increased ICP, what would you want to do? |
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Definition
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Term
| In a patient who has drainage from their nose, what would you want to do? |
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Definition
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Term
| In the patient with long term use of dilantin, what would you expect to see? |
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Definition
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Term
| For a patient with with status epilepticus, what would you give them to stop the seizure? |
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Definition
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Term
| In a patient with migraines what is one of the signs and symptoms they usually report? |
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Definition
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Term
| In patients with a history of cardiac disease, what medication would you not want to give them? |
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Definition
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Term
| In a patient with a stroke, what would be an early sign? |
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Definition
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Term
| A patient with a right sided stroke would experience what kind of behavior? |
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Definition
| Compulsive and irrational. |
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Term
| A patient on TPA isn't a candidate for this type of treatment if they are on what? |
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Definition
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Term
| In a patient who has problems eating what would you want to do to help them eat? |
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Definition
| Sit them upright and forward. |
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Term
| In a patient with problems sleeping, what would you do to help them get better rest? |
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Definition
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Term
| In a patient in ICU with a history of C2 injury, what would you want to monitor? |
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Definition
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Term
| In patients with a spinal cord injury, what would help to decrease the risk of injury if given within 8 hours? |
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Definition
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Term
| In a patient with spinal shock, what would you want to monitor? |
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Definition
| Bowel and bladder patterns. |
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Term
| A patient has elevated b/p, pounding headache, and diaphoresis, what would you want to do first? |
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Definition
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Term
| In a patient who had a spinal tap, what would indicate infection? |
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Definition
| Cloudy drainage (remember dec. glucose, inc protein and WBC) |
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Term
| What is an indicator of meningitis? |
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Definition
| When you put the head up, knees and abdomen flex. |
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Term
| In a patient with multiple sclerosis, what on the cat scan indicates MS? |
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Definition
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Term
| In a patient who is taking copaxane, what would you want to teach them? |
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Definition
| How to give sub-q injections. |
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Term
| In a patient experiencing spasm, what drug would you want to give them? |
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Definition
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Term
| What test would you use to see if a patient has Myasthenia Gravis? |
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Definition
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Term
| To help facilitate good nutritional intake, what would you advise a patient not to do before a meal? |
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Definition
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Term
| In a patient who takes levodopa, what is a long term side effect? |
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Definition
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Term
| To help a patient with parkinson's walk better, what would you tell them to do? |
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Definition
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Term
| In a patient with alzheimers disease, what is usually the first symptom a family notices? |
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Definition
| Inability to remember short term. |
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Term
| In a nursing home that has patients with alzheimers what is very important when planning their care? |
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Definition
| Have them on a structured schedule. |
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Term
| What is a sign and symptom of cataracts? |
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Definition
| Painless blurring of vision. |
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Term
| A patient who just had surgery for cataracts would need to notify the doctor if they noticed what? |
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Definition
| Floaters in their vision. |
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Term
| Discharge instructions for a patient undergoing eye surgery would include what? |
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Definition
| Making sure they know how to properly put in eye drops. |
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Term
| In a patient who had retinopexy eye surgery, post-op you want to advise them to do what? |
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Definition
| Maintain the same position for 2 weeks, to help keep bubble in place. |
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Term
| In a patient with meniere's disease, what is a priority nursing diagnosis? |
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Definition
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Term
| Post-op for laryngectomy, what would you want to monitor? |
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Definition
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Term
| A patient comes into the ER complaining of right sided chest pain that is worse when she takes a deep breath, she also is SOB and is coughing up green sputum. What do you expect this patient to have? |
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Definition
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Term
| A nurse is taking care of 4 patients, which of hte following patients would you suspect to have TB? |
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Definition
| A 45 year old woman with weight loss, fatigue, and night sweats with a history of being treated with chemo for carcinoma. |
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Term
| A nursing student had a TB test done, and when she had it read 48 hours later it showed 11mm duration. Which statement made by the nursing student indicated that she understood the test? |
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Definition
| I will need to be on INH prophylactically for 6 months. |
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Term
| Aricept for Alzheimer's disease does what? |
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Definition
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Term
| Caregiver for alzheimer's pt needs more teaching when says? |
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Definition
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Term
| Pt taking pilocarpine for glaucoma gets blurry vision? |
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Definition
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Term
| Help with age related cataracts? |
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Definition
| Use magnifying lens or glasses. |
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Term
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Definition
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Term
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Definition
| Will have to maintain position with head low |
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Term
| MAP is 70, ICP=20, SPP is going to be what? |
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Definition
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Term
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Definition
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Term
| Dr. Orders: HOB elevated, head and neck in neutral postiotion and avoid hip flexion, why? |
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Definition
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Term
| Pt has ICP monitor what should nurse do? |
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Definition
| Maintain aseptic technique |
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Term
| During a seizure, nurse should? |
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Definition
| Monitor and record all actions during and after seizure. |
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Term
| Pt with heart disease should not take what for headache? |
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Definition
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Term
| What are the signs of a migraine? |
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Definition
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Term
| Avoid alcohol to help with migraines why? |
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Definition
| Alcohol causes vasodilation. |
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Term
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Definition
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Term
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Definition
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Term
| A carotic Endarterectomy is what? |
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Definition
| Removal of an atherosclerotic plaque or thormbus from the carotid artery to prevent stroke. |
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Term
| Pt has subluxation of shoulder, nurse should teach? |
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Definition
| Interlace fingers, place the palms together, and push the clasped hands slowly forward to bring the scapulae forward. |
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Term
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Definition
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Term
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Definition
| Spinal cord segment below injury is without sensation and flaccid. |
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Term
| Pt has injury at T4, pounding headache and diaphoresis, what whould the nurse do first? |
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Definition
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Term
| Pt has photophobia with meningitis, what should nurse do? |
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Definition
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Term
| Bacterial meningitis will have what? |
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Definition
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Term
| Most disabling symptom of MS? |
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Definition
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Term
| The goal of treatment with MS is? (Select all that apply) |
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Definition
| Delay progression, manage chronic symptoms, and treat acute exacerbations. |
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Term
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Definition
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Term
| To diagnose MG, after giving tensilon? |
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Definition
| Improved muscle strength for 5 min. |
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Term
| Sinemet, select all that apply |
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Definition
| Develop dyskinesia in 5-10 years, increases dopamine levels |
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Term
| Myasthenic crisis nurse should? |
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Definition
| ABGs, NG tube, electrolytes |
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Term
| Diagnosis of parkinsons is? |
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Definition
| Based on pts history and 2 of 4 cardinal signs. |
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Term
| Pt has pooling of food on one side of mouth, nurse should? |
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Definition
| Start with thick liquids because easier to swallow then full liquids (P.2220) assisting with nutrition. |
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Term
| Nurse sees bleeding after skull injury, what should she do? |
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Definition
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Term
| What is complete lesion to spinal cord? |
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Definition
| Auto ischemia to spinal cord |
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Term
| Eye drops should be put in the? |
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Definition
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Term
| What does not increase ICP? |
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Definition
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Term
| What do u give for spasticity? |
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Definition
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Term
| Ordered: 640, on hand, 80 mg in 1/2 tsp? |
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Definition
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