NUR 242 MED SURG (GALEN COLLEGE OF NURSING) EXAM 4 VERIFIED TEST
QUESTIONS WITH WELL DETAILED SOLUTIONS
What type of diet should a person with Parkinsons eat?
High calorie, high protein, high fiber soft diet
You should encourage a pt with Parkinsons to do what when ambulating?
Lift their feet when walking and proper posture
Reversible Ischemic Neurologic Deficit (RIND) treatment:
-Anticoagulant therapy- clopidogrel (Plavix)
-Educate pt on bleeding precautions
Risk factors for CVA:
-Smoking
-Substance abuse
-Obesity
-Sedentary lifestyle
-Birth control
-Heavy ETOH use
-use of PPA (antihistamines)
,Treatment for acute ischemic stroke?
Fibrinolytic therapy
An early intervention that is the standard of practice to improve blood flow to the brain
what is rtPA (retavase) used for?
To break down fibrin.
Only given within 3-4.5 hours from the time the pt was last seen normal
Low back pain prevention:
-no high heels
-Proper body mechanics
-exercise
What medications are given for migraines?
Triptan drugs- should not be taken with SSRI antidepressants
Care of hearing aids:
-Keep dry
,-Wash ear mold with mild soap and water
-Clean debris from holes with toothpick
-Avoid hair spray
Pt education for Meziere's Disease:
-Move head slowly to prevent worsening vertigo
-Smoking cessation
-Avoid food/fluids with high sodium
-Avoid caffeine
-Avoid food with MSG
Primary open angle glaucoma: expected outcomes
-Prevent blindness by early detection
-Lifelong treatment
-Close monitoring with follow up
How to instill eye drops?
-Do not skip any doses
-When using more than one wait 10-15 minutes in between to prevent diluting the other
drug
How to admin eye ointment?
, From nose outward
S/S of age-related macular degeneration
-Decline in central vision
-Blurred vision
-happens faster in smokers
Pt education after cataract surgery:
-avoid eye straining
-use an eye shield while sleeping
-provide written time schedule for all eye drops
-eye itching is common, avoid rubbing eyes
S/S of Retinal Detachment:
-flashes of light
-floaters or black spots
-increase in blurred vision
-sense of a curtain being pulled over eyes
-loss of part of the visual field
Pt education for Osteoporosis:
-Encourage exercise that strengthens abdominal and back muscles
QUESTIONS WITH WELL DETAILED SOLUTIONS
What type of diet should a person with Parkinsons eat?
High calorie, high protein, high fiber soft diet
You should encourage a pt with Parkinsons to do what when ambulating?
Lift their feet when walking and proper posture
Reversible Ischemic Neurologic Deficit (RIND) treatment:
-Anticoagulant therapy- clopidogrel (Plavix)
-Educate pt on bleeding precautions
Risk factors for CVA:
-Smoking
-Substance abuse
-Obesity
-Sedentary lifestyle
-Birth control
-Heavy ETOH use
-use of PPA (antihistamines)
,Treatment for acute ischemic stroke?
Fibrinolytic therapy
An early intervention that is the standard of practice to improve blood flow to the brain
what is rtPA (retavase) used for?
To break down fibrin.
Only given within 3-4.5 hours from the time the pt was last seen normal
Low back pain prevention:
-no high heels
-Proper body mechanics
-exercise
What medications are given for migraines?
Triptan drugs- should not be taken with SSRI antidepressants
Care of hearing aids:
-Keep dry
,-Wash ear mold with mild soap and water
-Clean debris from holes with toothpick
-Avoid hair spray
Pt education for Meziere's Disease:
-Move head slowly to prevent worsening vertigo
-Smoking cessation
-Avoid food/fluids with high sodium
-Avoid caffeine
-Avoid food with MSG
Primary open angle glaucoma: expected outcomes
-Prevent blindness by early detection
-Lifelong treatment
-Close monitoring with follow up
How to instill eye drops?
-Do not skip any doses
-When using more than one wait 10-15 minutes in between to prevent diluting the other
drug
How to admin eye ointment?
, From nose outward
S/S of age-related macular degeneration
-Decline in central vision
-Blurred vision
-happens faster in smokers
Pt education after cataract surgery:
-avoid eye straining
-use an eye shield while sleeping
-provide written time schedule for all eye drops
-eye itching is common, avoid rubbing eyes
S/S of Retinal Detachment:
-flashes of light
-floaters or black spots
-increase in blurred vision
-sense of a curtain being pulled over eyes
-loss of part of the visual field
Pt education for Osteoporosis:
-Encourage exercise that strengthens abdominal and back muscles
