NUR390 ACTUAL EXAMINERS SET TIPS
QUESTIONS AND ANSWERS SURE A+
✔✔Nursing interventions for aphasia - ✔✔- Provide repetitive directions
- Break tasks down
- Repeat names of objects frequently used
- Allow time for client to communicate and use tools (board or pictures)
- simple language
- don't speak loudly
- praise and encouragement
- reduce distractions
✔✔Elderly client with high fever - what's the suspected condition? - ✔✔Delirium
(sudden onset confusion, altered LOC, fluctuating symptoms)
UTI & Urosepsis (high fever, new onset urinary incontinence, confusion)
Meningitis (severe headache, decreased LOC)
AKI (decreased urine output)
✔✔Stroke Protocol - Door to Needle - ✔✔10 min: triage, seen by ED MD for eval
15 min: stroke team activation, neurologist, CT tech, pharmacist paged, blood drawn
25 min: non-contrast CT - to rule out bleed
45 min: CT results and tx decision - interpretation
, 60 min from entering ED: Fibrinolytic tx initiated (thrombolytics only successful within
4.5 hrs of onset)
✔✔FAST for stroke - ✔✔Face drooping
Arm weakness
Speech difficulty
Time to call 911
✔✔Stroke first actions (first 10-15 min) - ✔✔ABCs assessment - ensure clear airway
(especially with decreased LOC)
Maintain O2 to prevent further brain injury
Rapid neuro assessment
- FAST
- CT scan STAT (within 20-25 min)
Check the last time patient was stable - baseline to monitor for increasing neurological
deficits
OTHER: prevent harm from
- inability to swallow
- knowing onset/medication reconciliation
- CT STAT (to know if clot busters can be given)
✔✔Bladder training - ✔✔- client postpones voiding
- resists or inhibits the sensation of urgency, and
- voids according to a timetable (every 2-3 hrs) rather than according to the urge to void
- gradually increase intervals
- encourage fluids during the day (limit before bed)
- modify environment for cognitive patients
- use positive reinforcement for cognitive patients
- pelvic floor exercises
✔✔Risk factors for stroke - ✔✔• High blood pressure
• Atherosclerosis
• Heart disease - Afib, MI, cardiomyopathy
• Smoking or tobacco use
• Atrial fibrillation (Afib)
• Diabetes
• Overweight or Obesity
• Blood disorders
• Excessive alcohol
• Certain medications
- oral contraceptives
- TIA
- sleep apnea
- ethnicity (blacks, hispanics)
- gender (men)
- Age ( risk doubes every decade after 55. 2/3 stroke occur in ppl over age 65)
QUESTIONS AND ANSWERS SURE A+
✔✔Nursing interventions for aphasia - ✔✔- Provide repetitive directions
- Break tasks down
- Repeat names of objects frequently used
- Allow time for client to communicate and use tools (board or pictures)
- simple language
- don't speak loudly
- praise and encouragement
- reduce distractions
✔✔Elderly client with high fever - what's the suspected condition? - ✔✔Delirium
(sudden onset confusion, altered LOC, fluctuating symptoms)
UTI & Urosepsis (high fever, new onset urinary incontinence, confusion)
Meningitis (severe headache, decreased LOC)
AKI (decreased urine output)
✔✔Stroke Protocol - Door to Needle - ✔✔10 min: triage, seen by ED MD for eval
15 min: stroke team activation, neurologist, CT tech, pharmacist paged, blood drawn
25 min: non-contrast CT - to rule out bleed
45 min: CT results and tx decision - interpretation
, 60 min from entering ED: Fibrinolytic tx initiated (thrombolytics only successful within
4.5 hrs of onset)
✔✔FAST for stroke - ✔✔Face drooping
Arm weakness
Speech difficulty
Time to call 911
✔✔Stroke first actions (first 10-15 min) - ✔✔ABCs assessment - ensure clear airway
(especially with decreased LOC)
Maintain O2 to prevent further brain injury
Rapid neuro assessment
- FAST
- CT scan STAT (within 20-25 min)
Check the last time patient was stable - baseline to monitor for increasing neurological
deficits
OTHER: prevent harm from
- inability to swallow
- knowing onset/medication reconciliation
- CT STAT (to know if clot busters can be given)
✔✔Bladder training - ✔✔- client postpones voiding
- resists or inhibits the sensation of urgency, and
- voids according to a timetable (every 2-3 hrs) rather than according to the urge to void
- gradually increase intervals
- encourage fluids during the day (limit before bed)
- modify environment for cognitive patients
- use positive reinforcement for cognitive patients
- pelvic floor exercises
✔✔Risk factors for stroke - ✔✔• High blood pressure
• Atherosclerosis
• Heart disease - Afib, MI, cardiomyopathy
• Smoking or tobacco use
• Atrial fibrillation (Afib)
• Diabetes
• Overweight or Obesity
• Blood disorders
• Excessive alcohol
• Certain medications
- oral contraceptives
- TIA
- sleep apnea
- ethnicity (blacks, hispanics)
- gender (men)
- Age ( risk doubes every decade after 55. 2/3 stroke occur in ppl over age 65)
