NUR 235 Test 1: O2, Mobility, Cognition Questions With Complete Solutions

NUR 235 Test 1: O2, Mobility, Cognition Questions With
Complete Solutions

4 S's to avoid with MS Correct Answers Stress: extreme
exercise and avoid surgery
Sickness: avoid crowds and wear mask
Smoking:
Sun: extreme heat, heating blankets, yard work when super hot,
excessively hot baths/showers

5 S Seizure Triggers Correct Answers Stress
Sleep deprived/fatigue
Stroke lights/ flash lights
Stimulants- alcohol, caffeine, drugs
Sugar and sodium LOW

Ablation Correct Answers Involves finding, targeting, and
destroying area of brain affected by PD
* destroy tissue that produces abnormal chemical or electrical
impulses that lead to tremors or other symptoms

Akenesia Correct Answers Loss of skilled voluntary
movements

Amantadine (Gocovri) Correct Answers Antiviral that
increases dopamine release
-reduces dyskinesia

Anterior lobe resection Correct Answers Removal of part of
brain to decrease seizures

,Antithyroid drugs Correct Answers Iodine: To decrease
vascularity and reduce the r/f hemorrhage

Beta-adrenergic blockers: To achieve euthyroid state

Aphasia and types Correct Answers Loss of ability to
understand or express speech
Receptive (Wernike), Expressive (Brocas), Global: total
inability to communicate

Are pts aware during generalized onset seizures? Correct
Answers

Atonic Generalized Onset Correct Answers Drop Attack

Atoninc Correct Answers Loss of tone

Aural Phase Manifestations Correct Answers Altered vision or
hearing, anxiety, dread, weird taste or smell, dizzy, inability to
speak, deja vu, bright or flashing lights, scotomas

Automaticisms Correct Answers Lip smacking or other
repetitive, purposeless actions

Benztropine (Cogentin) Correct Answers Decreases
acetylcholine activity
-decreases tremors, muscle stiffness, sweating, prod of saliva,
and helps improve walking ability
*NO ALCOHOL

,Brain stenting or Stent retrievers Correct Answers To keep
arteries open and improve blood flow. Insert mesh and inflates
balloon to keep artery open

Carbidopa/ Levodopa (Sinemet) Correct Answers Primary tx
for symptomatic pts
Stimulates Dopamine production

Carbidopa/ Levodopa (Sinemet) Side effects Correct Answers
Brown urine, sweat and saliva or normal with this med
Start on low doses to prevent adverse effects: dyskinesias-
spontaneous involuntary movements (ticks)

-Hallucinations or psychosis are possible
-Takes 2-3wks to work. Don't abruptly stop

Carbidopa/ Levodopa (Sinemet) Teaching Correct Answers
Prolonged use leads to off and on periods when med will start or
stop working

Avoid high protein meals as it reduces absorption

Carotid Endarterectomy (CEA) Correct Answers Removal of
atherosclerotic plaque or thrombus from carotid artery to prevent
stroke

Chest tube removal Correct Answers Valsalva maneuver - deep
breath, hold it, and bear down
- prevents air from being sucked back into pleural space

, Chyle Fistula Correct Answers Milk-like drainage from
thoracic duck. From damage to the duct

Classes of seizures Correct Answers Generalized onset
Focal onset
Unknown onset

Clonic Correct Answers Rhythmic jerking

Communication options for pts with larry tube Correct Answers
Electrolarynx: Can be used immediately after surgery. Creates
speech w/ use of sound waves. Mechanical robot voice

Blom Singer valve: Can be used one larry tube is removed. Pt
must speak by blocking stoma with finger

Complications of larynx radiation Correct Answers Chondritis:
inflammation of cartilage

Stenosis

Complications post thyroid surgery Correct Answers
Hypothyroidism
Hypoparathyroidism, hypocalcemia, hemorrhage, nerve injury,
thyrotoxicosis, infection, vocal cord paralysis, spastic airway
obstruction, respiratory distress, tetany

Deep Brain Stimulation Correct Answers Most common

Placing probes on head and upper chest. Reversible and
programmable