NUR 334 FINAL | Questions with 100% Verified Answers | Latest Update
Question: Kernig's Sign
Answer:
Lying supine with hip flexed at 90 degree angle, shows resistance to passive extension of the knee
-Sign of Meningitis
Question: Meningitis manifestations
Answer:
Nuchal rigidity Positive Kernig's sign Positive Brudzinski's sign Photophobia Rash indicative of N.
meningitidis
Question: Myasthenia Gravis
Answer:
Autoimmune disorder characterized by weakness and rapid fatigue of any of the muscles under voluntary
control. Caused by breakdown in the normal communication between nerves and muscles
Question: Myasthenia Gravis Pathophysiology
Answer:
Reduction in the number of acetylcholine receptor sites (continuous binding of the ACTH is required for
muscle contraction)
Question: Myasthenia Gravis Manifestations
Answer:
Initial manifestation involves ocular muscles: diplopia (double vision) and ptosis Blood tests reveal
ACTH receptor antibodies in the blood
Question: Postictal State Characteristics
Answer:
Confusion, nausea, hypertension, headache or migraine, and amnesia
Question: Parkinson's complications
Answer:
Thinking difficulties, depression, emotional changes, swallowing problems, sleep disorders, bladder
problems, constipation, blood pressure changes (orthostatic hypertension), smell dysfunction, fatigue,
pain in specific areas of the body, sexual dysfunction
Question: Parkinson's Nursing Management
Answer:
,Controlling symptoms and maintaining functional independence Antiparkinsonian medications and deep
brain stimulation Enhancing mobility Enhancing self-care Improving nutrition Maintaining bowel
function Enhancing swallowing Improving communication Supporting coping ability
Question: Encephalitis
Answer:
Inflammation of the brain tissue (cerebral cortex) Often due to infection Secondary to vituses (HIV,
HSV,) bacteria, fungi, or parasites
Question: Multiple Sclerosis
Answer:
An immune-mediated progressive demyelinating disease of the CNS Immune system eats away at
protective covering of nerves Relapse remitting (RR) course is most common
Question: MS nursing management
Answer:
Promoting and preserving mobility, minimizing spasticity and contractures, preventing injury, promoting
bowel and bladder control
Question: Skull fracture nursing management
Answer:
Look for CSF leakage from nose, ears, bruising around the eyes, battles sign NOTHING should be
allowed in patient's nose or ears to prevent meningitis
Question: Clinical manifestations from increased brain compression
Answer:
Acute: changes in LOC, pupillary changes, hemiparesis (onesided weakness), coma, BP changes,
decreased HR/RR Chronic: Neurologic deficits followed by headache
Question: Epidural Hematoma
Answer:
Collection of blood in the epidural space between the skull and the dura Can result from a skull fracture
that causes a rupture or laceration of the middle meningeal artery, which causes a rapid increase in
pressure of the brain Medical emergency Respiratory arrest can occur within minutes
Question: Subdural Hematoma
Answer:
Collection of blood between the dura and the brain Most common cause is trauma, but it can also occur
as a result of coagulopathies (bleeding disorders) or rupture of an aneurysm elderly are at increased risk
, Could be acute or chronic
Question: Neurogenic shock signs and symptoms
Answer:
Increased heart rate and blood pressure Decreasing cardiac output causes venous pooling which results in
hypotension and bradycardia and warm skin Pt doesn't perspire on paralyzed areas because of the
blocking of the sympathetic nervous system- abrupt onset of fever
Question: SCI Nursing Management
Answer:
Assessing altered breathing, changes in motor or sensory function, spinal shock, urinary retention,
overdistension of the bladder, and paralytic ileus (paralysis of intestinal muscles
Question: Nursing interventions for Increased Intracranial pressure
Answer:
Treating cerebral edema (with mannitol), controlling fever, maintaining BP and oxygenation, reducing
metabolic demand, preventing seizures, preserving the integrity of the skin and corneas, promoting
nutrition, and preserving bladder and bowel function Sit the patient up
Question: Cushing's Response
Answer:
Occurs when cerebral blood flow decreases significantly Compensatory measure that attempts to restore
blood flow by increasing arterial pressure to overcome the increased intracranial pressure; includes rising
systolic pressure, widening pulse pressure, bradycardia
Question: Cushing's Syndrome
Answer:
Disorder characterized by high levels of serum cortisol Symptoms resulting from excess free circulating
cortisol from the adrenal cortex
Question: Cushing's Syndrome Causes
Answer:
Pituitary tumor that overproduces ACTH, termed Cushing's disease An adrenal tumor that overproduces
ACTH, termed Cushing's syndrome Long-term glucocorticoid pharmacological therapy, termed
iantrogenic Overuse of corticosteroid
Question: Cushing's Triad
Answer:
Question: Kernig's Sign
Answer:
Lying supine with hip flexed at 90 degree angle, shows resistance to passive extension of the knee
-Sign of Meningitis
Question: Meningitis manifestations
Answer:
Nuchal rigidity Positive Kernig's sign Positive Brudzinski's sign Photophobia Rash indicative of N.
meningitidis
Question: Myasthenia Gravis
Answer:
Autoimmune disorder characterized by weakness and rapid fatigue of any of the muscles under voluntary
control. Caused by breakdown in the normal communication between nerves and muscles
Question: Myasthenia Gravis Pathophysiology
Answer:
Reduction in the number of acetylcholine receptor sites (continuous binding of the ACTH is required for
muscle contraction)
Question: Myasthenia Gravis Manifestations
Answer:
Initial manifestation involves ocular muscles: diplopia (double vision) and ptosis Blood tests reveal
ACTH receptor antibodies in the blood
Question: Postictal State Characteristics
Answer:
Confusion, nausea, hypertension, headache or migraine, and amnesia
Question: Parkinson's complications
Answer:
Thinking difficulties, depression, emotional changes, swallowing problems, sleep disorders, bladder
problems, constipation, blood pressure changes (orthostatic hypertension), smell dysfunction, fatigue,
pain in specific areas of the body, sexual dysfunction
Question: Parkinson's Nursing Management
Answer:
,Controlling symptoms and maintaining functional independence Antiparkinsonian medications and deep
brain stimulation Enhancing mobility Enhancing self-care Improving nutrition Maintaining bowel
function Enhancing swallowing Improving communication Supporting coping ability
Question: Encephalitis
Answer:
Inflammation of the brain tissue (cerebral cortex) Often due to infection Secondary to vituses (HIV,
HSV,) bacteria, fungi, or parasites
Question: Multiple Sclerosis
Answer:
An immune-mediated progressive demyelinating disease of the CNS Immune system eats away at
protective covering of nerves Relapse remitting (RR) course is most common
Question: MS nursing management
Answer:
Promoting and preserving mobility, minimizing spasticity and contractures, preventing injury, promoting
bowel and bladder control
Question: Skull fracture nursing management
Answer:
Look for CSF leakage from nose, ears, bruising around the eyes, battles sign NOTHING should be
allowed in patient's nose or ears to prevent meningitis
Question: Clinical manifestations from increased brain compression
Answer:
Acute: changes in LOC, pupillary changes, hemiparesis (onesided weakness), coma, BP changes,
decreased HR/RR Chronic: Neurologic deficits followed by headache
Question: Epidural Hematoma
Answer:
Collection of blood in the epidural space between the skull and the dura Can result from a skull fracture
that causes a rupture or laceration of the middle meningeal artery, which causes a rapid increase in
pressure of the brain Medical emergency Respiratory arrest can occur within minutes
Question: Subdural Hematoma
Answer:
Collection of blood between the dura and the brain Most common cause is trauma, but it can also occur
as a result of coagulopathies (bleeding disorders) or rupture of an aneurysm elderly are at increased risk
, Could be acute or chronic
Question: Neurogenic shock signs and symptoms
Answer:
Increased heart rate and blood pressure Decreasing cardiac output causes venous pooling which results in
hypotension and bradycardia and warm skin Pt doesn't perspire on paralyzed areas because of the
blocking of the sympathetic nervous system- abrupt onset of fever
Question: SCI Nursing Management
Answer:
Assessing altered breathing, changes in motor or sensory function, spinal shock, urinary retention,
overdistension of the bladder, and paralytic ileus (paralysis of intestinal muscles
Question: Nursing interventions for Increased Intracranial pressure
Answer:
Treating cerebral edema (with mannitol), controlling fever, maintaining BP and oxygenation, reducing
metabolic demand, preventing seizures, preserving the integrity of the skin and corneas, promoting
nutrition, and preserving bladder and bowel function Sit the patient up
Question: Cushing's Response
Answer:
Occurs when cerebral blood flow decreases significantly Compensatory measure that attempts to restore
blood flow by increasing arterial pressure to overcome the increased intracranial pressure; includes rising
systolic pressure, widening pulse pressure, bradycardia
Question: Cushing's Syndrome
Answer:
Disorder characterized by high levels of serum cortisol Symptoms resulting from excess free circulating
cortisol from the adrenal cortex
Question: Cushing's Syndrome Causes
Answer:
Pituitary tumor that overproduces ACTH, termed Cushing's disease An adrenal tumor that overproduces
ACTH, termed Cushing's syndrome Long-term glucocorticoid pharmacological therapy, termed
iantrogenic Overuse of corticosteroid
Question: Cushing's Triad
Answer:
