NSG 223 exam 4
1. meningitis inflammation of the meninges; can be bacterial, viral, or fungal
2. septic meningitis caused by bacteria
3. aseptic meningi- viral, fungal, or weakened immune
tis
4. meningitis risk skipping vaccinations, age (viral younger than 5), living in community setting,
factors pregnancy, weakened immune system
5. Meningitis process where protective layers that cover the brain and spinal cord become
Pathophysiology inflamed
6. meningitis s/s pain in back, muscles, and neck, fever, chills, fatigue, lethargy, loss of appetite,
n/v, malaise, shivering, blotchy rashes, irritability, confusion, stiff neck, sensitivity
to light, tachypnea, tachycardia
7. meningitis diag- Lumbar puncture shows increase in CSF pressure and presence of neutrophils
nostics
8. positive kernig straightening the knee with the hip and knee in a flexed position causes pain in
sign the back and neck.
9. positive brudzin- neck flexion causing adduciton of legs
ski sign
10. meningitis med- IV fluids and antimicrobial therapy are started immediately when bacterial menin-
ical management gitis is suspected. The appropriate antibiotic usually penicillin, a cephalosporin,
rifampin, vancomycin, and chloramphenicol is determined when the microorgan-
ism identified.
11. meningitis nurs- administer prescribed antibiotics
ing management hydration- give fluids
bed rest
, NSG 223 exam 4
pain relief
education
12. meningitis phar- antibiotics, steroids
macological
13. glaucoma increased intraocular pressure results in damage to the retina and optic nerve
with loss of vision
14. what part of the peripheral vision
visual filed is af-
fected with glau-
come
15. Glaucome patho- the optic nerve that connects the eye to the brain becomes damaged
physiology
16. Wide angle glau- the outflow of aqueous humor is obstructed at the trabecular meshwork
coma
17. narrow angle sudden increase in intraocular pressure when drainage of the aqueous humor is
glaucoma blocked
18. glaucoma s/s intense eye pain, n/v, red eye, headache, tenderness around the eye, seeing rings
around lights, blurred vision, severe headache, halos or colored rings
19. glaucoma diag- IOP,
nostics slit lamp microscopy,
optic disc cupping
angle test
optic nerve imaging
visual filed testing
20.
, NSG 223 exam 4
glaucoma risk African American race
factors Cardiovascular disease
Diabetes
Family history of glaucoma
Migraine syndromes
Nearsightedness (myopia)
Older age
Previous eye trauma
Prolonged use of topical or systemic corticosteroids
Thin cornea
21. glaucoma med- trabeculectomy
ical managmenet laser trabeculoplasty
peripheral iridotomy
shunts
22. trabeculectomy surgical creation of an opening that allows aqueous humor to drain out of the eye
to underneath the conjunctiva where it is absorbed
23. laser trabeculo- used to treat open-angle glaucoma by creating openings in the trabecular mesh-
plasty work to allow the fluid to drain properly
24. glaucoma nurs- preventing further visual deterioration
ing management promote adaption to changes in vision
prevent complications and injury
administer prescribed medications
education
25. glaucome nurs- know your ICP measurement and desired range
ing education be informed about the extent of vision loss and optic nerve damage
keep a record of your eye pressure measurements and visual field test results to
monitor your own progress
review all meds with doctor
1. meningitis inflammation of the meninges; can be bacterial, viral, or fungal
2. septic meningitis caused by bacteria
3. aseptic meningi- viral, fungal, or weakened immune
tis
4. meningitis risk skipping vaccinations, age (viral younger than 5), living in community setting,
factors pregnancy, weakened immune system
5. Meningitis process where protective layers that cover the brain and spinal cord become
Pathophysiology inflamed
6. meningitis s/s pain in back, muscles, and neck, fever, chills, fatigue, lethargy, loss of appetite,
n/v, malaise, shivering, blotchy rashes, irritability, confusion, stiff neck, sensitivity
to light, tachypnea, tachycardia
7. meningitis diag- Lumbar puncture shows increase in CSF pressure and presence of neutrophils
nostics
8. positive kernig straightening the knee with the hip and knee in a flexed position causes pain in
sign the back and neck.
9. positive brudzin- neck flexion causing adduciton of legs
ski sign
10. meningitis med- IV fluids and antimicrobial therapy are started immediately when bacterial menin-
ical management gitis is suspected. The appropriate antibiotic usually penicillin, a cephalosporin,
rifampin, vancomycin, and chloramphenicol is determined when the microorgan-
ism identified.
11. meningitis nurs- administer prescribed antibiotics
ing management hydration- give fluids
bed rest
, NSG 223 exam 4
pain relief
education
12. meningitis phar- antibiotics, steroids
macological
13. glaucoma increased intraocular pressure results in damage to the retina and optic nerve
with loss of vision
14. what part of the peripheral vision
visual filed is af-
fected with glau-
come
15. Glaucome patho- the optic nerve that connects the eye to the brain becomes damaged
physiology
16. Wide angle glau- the outflow of aqueous humor is obstructed at the trabecular meshwork
coma
17. narrow angle sudden increase in intraocular pressure when drainage of the aqueous humor is
glaucoma blocked
18. glaucoma s/s intense eye pain, n/v, red eye, headache, tenderness around the eye, seeing rings
around lights, blurred vision, severe headache, halos or colored rings
19. glaucoma diag- IOP,
nostics slit lamp microscopy,
optic disc cupping
angle test
optic nerve imaging
visual filed testing
20.
, NSG 223 exam 4
glaucoma risk African American race
factors Cardiovascular disease
Diabetes
Family history of glaucoma
Migraine syndromes
Nearsightedness (myopia)
Older age
Previous eye trauma
Prolonged use of topical or systemic corticosteroids
Thin cornea
21. glaucoma med- trabeculectomy
ical managmenet laser trabeculoplasty
peripheral iridotomy
shunts
22. trabeculectomy surgical creation of an opening that allows aqueous humor to drain out of the eye
to underneath the conjunctiva where it is absorbed
23. laser trabeculo- used to treat open-angle glaucoma by creating openings in the trabecular mesh-
plasty work to allow the fluid to drain properly
24. glaucoma nurs- preventing further visual deterioration
ing management promote adaption to changes in vision
prevent complications and injury
administer prescribed medications
education
25. glaucome nurs- know your ICP measurement and desired range
ing education be informed about the extent of vision loss and optic nerve damage
keep a record of your eye pressure measurements and visual field test results to
monitor your own progress
review all meds with doctor
