NURS 4100 ACTUAL FINAL EXAM 2025-2026
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- read to pt
Nursing intervention for - employ feedback and relaxation therapy to decrease stress
patient with Huntingtons
- consult with speech therapist to devise communication system
disease with impaired
verbal communication - learn particular pt expression and non-verbal messages
- do not isolate pt by ceasing communication with them
- reorient the pt after awaking
- have a clock, calendar, wall poster to assist with orientation
- one-on-one contact
Nursing interventions for
pt with Huntington's - use music for relaxation
disease who have acute - The pt wears a medical ID bracelet
confusion and impaired - Keep PT in the social mainstream
socialization
- recruit and train volunteers for social interaction
- do not isolate pt by ceasing communication with them
- increased ICP
- bleeding from site
- CSF leakage - emergency
- infections - assess with REEDA
What are complication of
craniotomy? - DI
- SIADH
- seizures
- college students
- Millitary personal
- dense community groups
- those who have not been vaccinated before
- tobacco users
What pt are more
- pt who have upper viral respiratory infections
susceptible to opportunistic
- have otitis media
variations of meningitis?
- pts with immune deficiencies
- pt with mastoiditis
- Aseptic meningitis can effect pt with (cancer, HIV, AIDS, weaken
immune system
/ 1/27
,8/5/25, 4:56 AM NSG 4100 final exam
- Acyclovir- early administration, continues for 3 weeks
- comfort measures to reduce headaches: cluster care,
Care of a client with
dim lights, limit noise, and visitors, administer
encephalitis from herpes
analgesics, place pt further away from the nurses
simplex?
station
- monitor for changes in LOC
- seizure precautions
- No TX; but report to the local health department
- if fever and headache - tx at home
Care of a client with - if very ill - tx at the hospital
encephalitis from - assess neurological status Q1H - identifies
arthropod-Borne virus? deterioration and improvement of the condition
- fall and seizure precautions
- wear clothing that provides covering
Prevention education for - insect repellent on clothing and skin in high areas
arthropod-Borne virus - remain indoors at dawn and dusk
- remove standing water
a genetic chronic, progressive that cause premature
What occurs during death of brain cells that help to control voluntary
HuntingtonS disease?
(intentional) movement
- causes muscle Spasticity
- No tx or revertive of underlying process
- Tx the symptoms
- Tp tx chorea - tetrabenzine, bentos, neuroleptic drugs
Medical management
- to tx Akathisia (motor restlessness) - occurs when pt
for Huntington disease?
is over medicated, decrease drug causing symtoms
- To tx rigidity - antiparkinsons meds (Levodopa)
- To control psychiatric symptoms - fluoxitive, amitriptyline
- pad sides of bed
- padded heals and elbow protectors
- keep skin clean
Nursing intervention for
- apply emollient cleansing agent and skin lotion PRN
patient with Hungtions - use soft sheet and bedding
disease that are at risk for - encourage ambulation with assistance
falls? - secure pt if necessary to bed or chair
/ 2/27
, 8/5/25, 4:56 AM NSG 4100 final exam
- administer phenothiazine before meals (calms pt)
- talk to patient before meal time to promote relaxation
- use warming tray to keep food warm
- keep pt as close to upright position and stabilize
head while feeding with other hand
- stabilize pt with use of pillows and wedges for support
Nursing intervention for
- use long-stem spoon and place in middle of tongue and exert
patient with Hungtions
slight pressure
disease with impaired - place bite size food
nutritional intake - serve stews, casseroles, and thick liquids
- ensure pt completely swallows before introducing more food
- provide in between meal feeding bc constant
spasticity of body expends more calories
- use slenderized meals gradually introduce textures and
consistence
Nursing intervention for - apply gentle, deep pressure around pt mouth, rub
patients with Huntington's fingers in circles on pts cheek and then down each
disease that have side of the pt throat
- develop skills in hemlock maneuver
swallowing difficulties?
/ 3/27