lOMoARcPSD|61299927
NR 325 Exam 2 Review
Adult Health II (Chamberlain University)
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Exam 2 Review
Week 4
GLASGOW COMA SCALE
-Scored by : eye-opening response, Best verbal response, Best Motor Response
● Lowest score is 3 (being the worst response)
● Best score is 15 (being the best neuro response)
IMPAIRED COGNITION
-Nursing Actions for agitated and confused clients
● Talk to the clients family and provide reassurance
● Request family to remain at bedside if possible
● Use calendars and list of scheduled activity to reorient the client
ALZHEIMER’S
-Early Stage
● Teach client to use memory and such as calendars
● Teach caregivers methods to prevent injury at home
● Encourage the client to set up advanced directives for future care
-Late Stage
● Client will need total care
● Low stimulation environment
● Use distraction techniques for agitation
HUNTINGTONS
● HIGH-calorie diet ( due to to constant movements aka Chiroform movement/ Chorea)
PARKINSON’S
● Medication therapy is working if fine motor skills improve ( ex: tying shoelaces)
● Benztropine adverse effect: URINARY RETENTION
● PRIORITY: assist client with ambulation to prevent falls and injuries
MULTIPLE SCLEROSIS
-Triggers of exacerbation:
● Infection ( MOST COMMON)
● Viruses
Downloaded by James Banks ()
NR 325 Exam 2 Review
Adult Health II (Chamberlain University)
Scan to open on Studocu
Studocu is not sponsored or endorsed by any college or university
Downloaded by James Banks ()
, lOMoARcPSD|61299927
Exam 2 Review
Week 4
GLASGOW COMA SCALE
-Scored by : eye-opening response, Best verbal response, Best Motor Response
● Lowest score is 3 (being the worst response)
● Best score is 15 (being the best neuro response)
IMPAIRED COGNITION
-Nursing Actions for agitated and confused clients
● Talk to the clients family and provide reassurance
● Request family to remain at bedside if possible
● Use calendars and list of scheduled activity to reorient the client
ALZHEIMER’S
-Early Stage
● Teach client to use memory and such as calendars
● Teach caregivers methods to prevent injury at home
● Encourage the client to set up advanced directives for future care
-Late Stage
● Client will need total care
● Low stimulation environment
● Use distraction techniques for agitation
HUNTINGTONS
● HIGH-calorie diet ( due to to constant movements aka Chiroform movement/ Chorea)
PARKINSON’S
● Medication therapy is working if fine motor skills improve ( ex: tying shoelaces)
● Benztropine adverse effect: URINARY RETENTION
● PRIORITY: assist client with ambulation to prevent falls and injuries
MULTIPLE SCLEROSIS
-Triggers of exacerbation:
● Infection ( MOST COMMON)
● Viruses
Downloaded by James Banks ()
