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NUR 425 EXAM 1 QUESTIONS WITH CORRECT ANSWERS

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NUR 425 EXAM 1 QUESTIONS WITH CORRECT ANSWERS

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What is the best way to handle patient anxiety about surgery?


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express that their concern is normal and encourage them to speak with the
surgeon about their concerns. EDUCATION ALLEVIATES ANXIETY




What are the four goals of the pre-op assessment? who completes this assessment?


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1- determine PT understanding of surgery, complications, interventions,
answer questions, and provide appropriate education
2- confirm informed consent
3- determine PT anxiety level/source and manage accordingly
4- obtain relevant info like PT identity, verify NPO status, meds taken, health
history, allergies, and family support level

, ***completed by the perioperative nurses in the preop area




What are the types of seizures?


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- tonic clonic: muscle stiffness (tonic) and loss of consciousness
- generalized: both hemispheres w/ aura
- myoclonic: brief jerking or stiffness of extremities, usually in multiple
episodes
- atonic seizures: muscle tone is lost, PT drops to the floor
- partial/focal: one hemisphere is affected, may loose consciousness,
random body spasms




What are some nursing interventions for parkinson's disease?


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- coordination/gag/swallow tests
- suction at bedside
- admin meds
- safety precautions: fall, trip, aspiration
- no restraints
- increased fluid intake and monitor nutrition
- elevate HOB at mealtimes
- encourage PT participation
- interdisciplinary team work (oncologist, speech therapist, OT/PT,
interventional radiologist)




What post-op education should we provide?

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- communicate plan of care
- inform family when PT reaches PACU and teach visitation guidelines
- teach turn cough deep breathe and incentive spirometer
- early ambulation and activity restriction
- medication education
- dietary guidelines
- PT should tell surgeon any signs of complications
- how to use drain




s/s of trigeminal neuralgia?


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severe, brief, stabbing, shock like unilateral pain flared up from light touch




What nursing interventions can we provide to spinal chord injuries?


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maintain suction, maintain spinal immobilization, passive ROM, facilitate
coughing, perform pin site care (clean with gauze and sterile saline)




What is trigeminal neuralgia (TN)?


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Characterized by recurrent brief episodes of unilateral electric shock-like
pains, abrupt onset and termination, in the distribution of the fifth cranial

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