NURS 366 FINAL QUESTIONS AND
VERIFIED ANSWERS
pancreatitis + s/s + tx + complications ANSW✅✅inflammation of pancreas from auto digestion
s/s: LUQ severe deep piercing pain, vomiting, fever, jaundice
tx: NPO, NG, electrolytes, pain control, enzymes
comp: pseudocyst, abscess
cholecystitis management (4) ANSW✅✅open/lap chole
t tube to drain bile
pain management
antibiotics
TIA management ANSW✅✅antiplatelet therapy
OR, if an embolic source is found, initiate anticoagulation
Warn patient of risk of stroke: quit smoking/drinking, exercise, lose weight
CVA types tx ANSW✅✅ischemia: thrombectomy, TPA, no coughing/ pressure
hemorrhagic: vitamin k, ICP rest, surgery, manage HTN
parkinsons + tx ANSW✅✅neurogenerative disease with dopamine deficiency
tx: levodopa + anticholingerics
goal is to maximize neurologic function because can't cure
MS + tx ANSW✅✅autoimmune demyelination
tx: avoid stress + extreme temps, drugs (corticosteroids), surgery, PT/OT
ALS + tx + cause of death ANSW✅✅loss of motor neurons in brainstem/spinal cord
tx: radivace, rilutek
cause of death: respiratory function loss
, rheumatic fever vs rheumatic heart disease (tx) ANSW✅✅fever: tx treat strep with PCN,
ASA/NSAIDs, prophylaxis abx for 5-10 years
comp: RHD
disease: prevent/ treat GAS
comp: infective endocarditis, HF
kawasaki tx + complications ANSW✅✅tx: high dose IVIG + ASA
comp: heart complications
blood flow of each: PDA, pulmonic stenosis, VSD, ASD, tetralogy of fallot, tricuspid atresia
ANSW✅✅increased pulmonary flow: PDA, VSD, ASD
decreased pulmonary flow: TOF, pulmonic stenosis, tricuspid atresia
most common type of skull fracture ANSW✅✅linear
epidural vs subdural hemorrhage ANSW✅✅epidural: between dura and skull
- brain compression
subdural: between dura and arachnoid
- slow venous bleeding
bacterial vs viral meningitis ANSW✅✅bacterial: more rapid/ severe
- severe HA, high fever, LOC change
- elevated WBC, protein, opening pressure
- decreased glucose
viral: less severe and gradual
- normal glucose
- normal/ slightly elevated protein
kernig sign ANSW✅✅cannot fully extend knee
shows meningitis
VERIFIED ANSWERS
pancreatitis + s/s + tx + complications ANSW✅✅inflammation of pancreas from auto digestion
s/s: LUQ severe deep piercing pain, vomiting, fever, jaundice
tx: NPO, NG, electrolytes, pain control, enzymes
comp: pseudocyst, abscess
cholecystitis management (4) ANSW✅✅open/lap chole
t tube to drain bile
pain management
antibiotics
TIA management ANSW✅✅antiplatelet therapy
OR, if an embolic source is found, initiate anticoagulation
Warn patient of risk of stroke: quit smoking/drinking, exercise, lose weight
CVA types tx ANSW✅✅ischemia: thrombectomy, TPA, no coughing/ pressure
hemorrhagic: vitamin k, ICP rest, surgery, manage HTN
parkinsons + tx ANSW✅✅neurogenerative disease with dopamine deficiency
tx: levodopa + anticholingerics
goal is to maximize neurologic function because can't cure
MS + tx ANSW✅✅autoimmune demyelination
tx: avoid stress + extreme temps, drugs (corticosteroids), surgery, PT/OT
ALS + tx + cause of death ANSW✅✅loss of motor neurons in brainstem/spinal cord
tx: radivace, rilutek
cause of death: respiratory function loss
, rheumatic fever vs rheumatic heart disease (tx) ANSW✅✅fever: tx treat strep with PCN,
ASA/NSAIDs, prophylaxis abx for 5-10 years
comp: RHD
disease: prevent/ treat GAS
comp: infective endocarditis, HF
kawasaki tx + complications ANSW✅✅tx: high dose IVIG + ASA
comp: heart complications
blood flow of each: PDA, pulmonic stenosis, VSD, ASD, tetralogy of fallot, tricuspid atresia
ANSW✅✅increased pulmonary flow: PDA, VSD, ASD
decreased pulmonary flow: TOF, pulmonic stenosis, tricuspid atresia
most common type of skull fracture ANSW✅✅linear
epidural vs subdural hemorrhage ANSW✅✅epidural: between dura and skull
- brain compression
subdural: between dura and arachnoid
- slow venous bleeding
bacterial vs viral meningitis ANSW✅✅bacterial: more rapid/ severe
- severe HA, high fever, LOC change
- elevated WBC, protein, opening pressure
- decreased glucose
viral: less severe and gradual
- normal glucose
- normal/ slightly elevated protein
kernig sign ANSW✅✅cannot fully extend knee
shows meningitis
