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NURS 400 Final Exam – Questions With Definite Solutions

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Terms in this set (139)



Cerebral Vascular Accident an interruption in flow of blood to the brain which
causes a deprivation of oxygen to the brain resulting
in brain death and death.


Hemorrhagic Stroke bleeding within the brain, also known as a Cerebral
hemorrhage, due to intracranial or subarachnoid
hemorrhage generally caused by the spontaneous
rupture of small vessels from uncontrolled
hypertension to the buildup of fatty deposits within
the vessels or due to. AVM's or malformation of
blood vessels in the brain.


Hemorrhagic Stroke Signs & Severe headache, sudden onset - worst headache of
Symptoms patients life , Neurological deficits, Hypertension,
Nausea and vomiting, Neck stiffness, photophobia,
LOC, Visual disturbances Incontinence, neurogenic
bladder


Hemorrhagic Stroke Complications Cerebral hypoxia, decreased blood flow, Vasospasm
- narrowing of the lumen of the involved cranial
blood vessels, Increased intracranial pressure,
hypertension


L Hemispheric Stroke s&s: Paralysis/weakness on the R side of the body, R visual
field deficits
Aphasia - receptive or global, Increased
distractibility, Altered intellectual ability, Slowed,
cautious behaviors

,R Hemispheric Stroke s&s : L side Paralysis or weakness, L visual field deficit,
Spatial-perceptual deficits
Impulsive behaviour, poor judgement, Lack of
awareness of deficits


Multiple Sclerosis an immune-mediated progressive demyelinating
disease of the CNS. The destruction of the myelin of
nerve fibers of the brain and spinal cord results in
impaired transmission of nerve impulses.


Multiple Sclerosis S&S Fatigue - most common s/s
Depression, Numbness, Difficulty in coordination,
Loss of balance, Spasticity, Pain, Visual disturbances,
UTI, constipation, pressure ulcers, contracture
deformities, Voiding dysfunction includes
Incontinence or incomplete bladder emptying


Addisons Disease a primary adrenal insufficiency that occurs when the
adrenal glands are damaged and cant produce
enough cortical hormones. This may be autoimmune
or idiopathic atrophy of the adrenal gland


Addisons Disease S & S Fatigue
Muscle weakness
confusion
Dark pigmentation of mucous membranes - skin,
knee's, elbows
Anorexia & GI symptoms
Hypotension
High serum Potassium levels
Emotional liability


Addisonian Crisis due to disease progression, when an acute
adrenocortical insufficiency that Is precipitated by
stress or the abrupt withdrawal of therapeutic
glucocorticoids and the progression of Addisons
Disease

, Addisonian Crisis S/S Hypotension
Cyanosis
Fever
Nausea & vomiting
classic signs of shock - hypotension, rapid and weak
pulse, rapid RR, pallor, extreme weakness
Pallor
Headache
Abdominal pain & diarrhea
Confusion and restless


Cushing disease due to a pituitary adenoma, a benign tumor of on the
pituitary gland which causes for too much
adrenocorticotropic hormone (ACTH). Due to the
excess production of ACTH, the adrenal glands, too
much cortisol is circulating and causes problems with
hormone balance.


Cushing disease S&S Weight gain in the trunk
Fatty lump between shoulders behind the neck
Pink or purple stretch marks
Thin, frail skin that bruises easily
Slow wound healing
Acne


Cushing's syndrome due to excessive adrenocortical activity, caused by
the use of corticosteroid medications or the
overproduction of endogenous corticosteroids due
to tumors of the pituitary gland.

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