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Exam (elaborations)

NSG 4100 Exam 4 Q&A

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NSG 4100 Exam 4 review with annotations and answers

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Head injury
causes:
- Sports
- Car crash sign of brain

herniation:abnormal
Closed head injury pupil response
normal intervention
/CP5-15
- ↑ ICP: HOB 30 degrees to reduce pressure
possible
Assessing a pa?ent with a supposed
mmm head trauma and unconscious

can see:
- Bruising behind the ear: baCle sign

Spousal abuse

- Something we can do to help alleviate the fears? Ask if there is a family or friend that can come
sit with them for support

Normal to see on head to toe for TBI: bruising and swelling

Doll eyes: call doctor
used to -
AKer craniotomy what to watch for: swelling
remove tumor
relieve ICP Indica?on that there is a leak aKer a craniotomy: increased drainage
blood
evacuate
clot 9 control What would be alarming aKer craniotomy: increased BP
hemmorrhage
Meningi?s vaccine, when to give it?
age 11 to 129 booster dose 14
at
yo
What to give for myasthenia gravis and what its supposed to do? inhibits breakdown of
Pyridostigmine bromide (acetylcholinesterase inhibitor ( acetylcholines increasin
Encephali?s comfort measures? the relative concentrati
available
of
acetylchol
- Limit environmental s?muli
neuromuscular
at junction
Fibromyalgia symptoms and what we need to know when taking a history? ask if
itis
chronic fatigue, generalized achiness/stiffness, sleep disturbances
muscle having
difficulty
sleeping
AKA
MS lifestyle changes to maintain ADL and keep them safe functional impairment ~It
pain
amyotrophic lateral sclerosis
enrig Know ALS stages and what it progresses to and what the most dangerous thing can happen to them
starts in
disease legs
- Dysphagia moves up
Spinal cord injury at C4

- Know what the doctor would order: intuba?on
complication
of
SCI Autonomic dysreflexia

- 1st to check: bladder

Symptoms of autonomic dysreflexia?
severe pounding headache, of lesion,
paroxysmal hypertension, profuse diaphoresis above spinal level
Escharotomy: what is it? And how its improving? nausea, nasal congestion, a bradycardia
burns need it
if pulses are diminished *

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