NSG 4100 Exam 4 Final Answers
,
, Which of the following is indicative of worsening condition?
Pupil size changing from 5 to 9mm
(sign of increased ICP)
Which position is best best for patient who is at risk for increased ICP?
Semi Fowler position
Your patient is S/P craniotomy for tumor removal. Which of the following is
indicative of a complication?
Client states he feels a lot of drainage at the back of his throat
What is a normal reaction of a patient has received a craniotomy?
Eyes that are swollen post op
Your patient is S/P a craniotomy. Which of the following will need to reported to
the PCP?
BP change from 120/80 to 140/88
Which statement is correct about meningococcal vaccines #1 prevention?
Recommended between the ages 11-12 and boosters should be recv'd by age 16
Which is appropriate when caring for a patient with encephalitis?
Keeping room lights dim or off
You are caring for a patient who has had Huntington's for 15 years and is
admitted with pneumonia. Which actions is priority?
Set up bedside humidification
Your patient has been ordered pyridostigmine for myasthenia gravis. You
understand that this medication is used to?
Improve muscle strength
(DO NOT SKIP DOSES OF MEDICATIONS!)
Your patient is experiencing myasthenia exacerbation related to missed dose of
medication. Which are signs of this crisis state (SATA)
-Difficult speaking (Dysphonia)
-Extreme muscle weakness
-Shallow, slow RR
-Dyshpagia
*Emergency Prepare for intubation
Your patient is diagnosed with Fibromyalgia. Which is a key feature of this
disease?
Difficulty Sleeping (insomnia)
What education statment is correct when teaching your patient with MS, about
activity and mobility?
Waking improves gait
Your patient sustained a C4 injury. You will expect all of the following EXCEPT?
Full range of motion
Autonomic dysreflexia is considered an emergency. Why?
Increase in BP can raise ICP
,
, Which of the following is indicative of worsening condition?
Pupil size changing from 5 to 9mm
(sign of increased ICP)
Which position is best best for patient who is at risk for increased ICP?
Semi Fowler position
Your patient is S/P craniotomy for tumor removal. Which of the following is
indicative of a complication?
Client states he feels a lot of drainage at the back of his throat
What is a normal reaction of a patient has received a craniotomy?
Eyes that are swollen post op
Your patient is S/P a craniotomy. Which of the following will need to reported to
the PCP?
BP change from 120/80 to 140/88
Which statement is correct about meningococcal vaccines #1 prevention?
Recommended between the ages 11-12 and boosters should be recv'd by age 16
Which is appropriate when caring for a patient with encephalitis?
Keeping room lights dim or off
You are caring for a patient who has had Huntington's for 15 years and is
admitted with pneumonia. Which actions is priority?
Set up bedside humidification
Your patient has been ordered pyridostigmine for myasthenia gravis. You
understand that this medication is used to?
Improve muscle strength
(DO NOT SKIP DOSES OF MEDICATIONS!)
Your patient is experiencing myasthenia exacerbation related to missed dose of
medication. Which are signs of this crisis state (SATA)
-Difficult speaking (Dysphonia)
-Extreme muscle weakness
-Shallow, slow RR
-Dyshpagia
*Emergency Prepare for intubation
Your patient is diagnosed with Fibromyalgia. Which is a key feature of this
disease?
Difficulty Sleeping (insomnia)
What education statment is correct when teaching your patient with MS, about
activity and mobility?
Waking improves gait
Your patient sustained a C4 injury. You will expect all of the following EXCEPT?
Full range of motion
Autonomic dysreflexia is considered an emergency. Why?
Increase in BP can raise ICP
