NURS 480 ACTUAL FINALS QUESTIONS AND
ANSWERS SET A+
✔✔NA for pt with respiratory failure and intubation ? - ✔✔1. Head of bed 30-45
2. Suction as needed
3. Oral care
4. Repeat chest x ray
5. Sedation
a. With propofol
· - preferred for neuro issues as it can easily be turned off
8. Benzos
o Midazolam
✔✔CABG pre/post op questions? - ✔✔Pre
i. Take cardiac and glucose meds
ii. Stop blood thinners
PostOp
i. How long they stay
Ii. Mediastinal chest tube possibly
✔✔Cushing's dietary teaching? - ✔✔· High protein and calcium
· Low fat and salt
✔✔Addison's Treatment? - ✔✔- Topical hydrocortisone for daily, Hydrocortisone IM for
emergency
- diet high in protein, carbs, sodium
- dont abruptly stop steroids
- dont believe this medication will cure you
- *lifelong hormone replacement*
✔✔CUSHINGS TRIAD - ✔✔1. increased Systolic pressure/widen pulse pressure
2. bradycardia
3. irregular respirations ( usually Cheyne's stoked)
, ✔✔Cushing's triad treatment (same as for increased ICP??) - ✔✔1. osmotic diuretic
2. Hypotonic saline
3. corticosteroids
4. barbiturates
5. phenytoin
6. opioids
✔✔hemorrhagic stroke symptom's - ✔✔sudden severe headache
nausea and vomiting
sudden loss of consciousness
focal seizures
droppings BP
✔✔ischemic stroke symptoms - ✔✔?????
✔✔What is the Glasgow Coma Scale? - ✔✔- based upon this criteria
eye opening 1-4
verbal response 1-5
motor response 1-6
✔✔What does a GCS of 8 or less mean? - ✔✔1. GCS less than 8 w/ head injury or
other dx
"GCS less than 8, INTUBATE"
also start a ventriculostomy to monitor pt. condition and remove fluid
✔✔autonomic dysreflexia priority intervention? - ✔✔sit them up???
✔✔common causes of autonomic dysreflexia? - ✔✔1. Urinary retention
2. Over distended bladder or bowel
3. swelling around spine if inury at T4 as there is decreased sensation
4. Pressure ulcers
5. Kidney stones
6. Ingrown toenail
✔✔Autonomic dysreflexia prevention - ✔✔1. Colace, fiber rich diet
2. foley cath/ in n out catheter, urinations schedule,
3. corticosteroids to reduce swelling
✔✔A spinal injury at C1 -C8 causes - ✔✔quadriplegia
✔✔A spinal injury at C4 causes - ✔✔LOSS OF BREATHING as this area controls the
PHRENIC NERVE which innervates he diaphragm
ANSWERS SET A+
✔✔NA for pt with respiratory failure and intubation ? - ✔✔1. Head of bed 30-45
2. Suction as needed
3. Oral care
4. Repeat chest x ray
5. Sedation
a. With propofol
· - preferred for neuro issues as it can easily be turned off
8. Benzos
o Midazolam
✔✔CABG pre/post op questions? - ✔✔Pre
i. Take cardiac and glucose meds
ii. Stop blood thinners
PostOp
i. How long they stay
Ii. Mediastinal chest tube possibly
✔✔Cushing's dietary teaching? - ✔✔· High protein and calcium
· Low fat and salt
✔✔Addison's Treatment? - ✔✔- Topical hydrocortisone for daily, Hydrocortisone IM for
emergency
- diet high in protein, carbs, sodium
- dont abruptly stop steroids
- dont believe this medication will cure you
- *lifelong hormone replacement*
✔✔CUSHINGS TRIAD - ✔✔1. increased Systolic pressure/widen pulse pressure
2. bradycardia
3. irregular respirations ( usually Cheyne's stoked)
, ✔✔Cushing's triad treatment (same as for increased ICP??) - ✔✔1. osmotic diuretic
2. Hypotonic saline
3. corticosteroids
4. barbiturates
5. phenytoin
6. opioids
✔✔hemorrhagic stroke symptom's - ✔✔sudden severe headache
nausea and vomiting
sudden loss of consciousness
focal seizures
droppings BP
✔✔ischemic stroke symptoms - ✔✔?????
✔✔What is the Glasgow Coma Scale? - ✔✔- based upon this criteria
eye opening 1-4
verbal response 1-5
motor response 1-6
✔✔What does a GCS of 8 or less mean? - ✔✔1. GCS less than 8 w/ head injury or
other dx
"GCS less than 8, INTUBATE"
also start a ventriculostomy to monitor pt. condition and remove fluid
✔✔autonomic dysreflexia priority intervention? - ✔✔sit them up???
✔✔common causes of autonomic dysreflexia? - ✔✔1. Urinary retention
2. Over distended bladder or bowel
3. swelling around spine if inury at T4 as there is decreased sensation
4. Pressure ulcers
5. Kidney stones
6. Ingrown toenail
✔✔Autonomic dysreflexia prevention - ✔✔1. Colace, fiber rich diet
2. foley cath/ in n out catheter, urinations schedule,
3. corticosteroids to reduce swelling
✔✔A spinal injury at C1 -C8 causes - ✔✔quadriplegia
✔✔A spinal injury at C4 causes - ✔✔LOSS OF BREATHING as this area controls the
PHRENIC NERVE which innervates he diaphragm
