NR341 / NR-341 Exam 2 (Latest Update 2024 / 2025): Complex Adult Health | Complete Guide with Questions and Verified Answers | 100% Correct - Chamberlain

NR341 / NR-341 Exam 2 (Latest Update 2024 / 2025): Complex Adult Health | Complete Guide with Questions and Verified Answers | 100% Correct - Chamberlain Question: If a patient who is in septic shock gets antibiotics and fluid, and they still aren't improving, what should be give them? Answer: give norepinephrine (levophed) to raise the BP Question: What is the only type of shock will you see bradycardia? Answer: neurogenic Question: What is normal ICP? Components (monro-kellie doctrine): - brain tissue - blood - CSF fluid Answer: 5-15mm hg Question: What is normal cerebral perfusion pressure (CPP)? How is it determined? Answer: 60-80mm hg it is determined by MAP - ICP = CPP if CPP is inadequate, ischemia or infarction can occur Question: - associated with neurological problems - ICP 20mm hg or greater for 5 minutes or longer Results from: 1. Increased blood volume: - loss of autoregulation - decreased oxygenation - obstruction 2. Increased blood volume: - cerebral edema 3. Increased CSF: - hydrocephalus Nursing management: - map between 70-90mm hg - CPP at least 70mm hg - avoid HTN and hypotension - temperature control - sedation - seizure prophylaxis - neuromuscular blockade - diuretics (mannitol) - steroids - fluids - strict I&Os - serum osmolality needs to be less than 320 - HOB 30 degrees - head in neutral position - suction only when absolutely necessary (preoxygenate before and limit to 10 sec) - no knee bending - stool softeners - minimize external stimuli Answer: increased ICP Question: Flexion Answer: decoritcate Posturing