NUR 445 Exam 3 Comprehensive Study Guide: Key Concepts & Resources
NUR 445 Exam 3 Comprehensive Study
Guide: Key Concepts & Resources
Exam 3 Study Guide
Hoffman, J., & Sullivan, N. (2019). Davis Advantage for Medical-
Surgical Nursing: Making Connections to Practice (2nd ed.). FA Davis.
oCh. 27 and 36-39
• Videos: Be sure to watch videos
o https://www.youtube.com/watch?v=Ipu-z4Bz168
o https://www.youtube.com/watch?v=Airun30OqrU
o https://www.youtube.com/watch?v=Tul9sm30QNo
o https://www.youtube.com/results?
search_query=brain+herniation
o https://www.youtube.com/watch?v=Vsy2hXRrlOE
• Websites:
o https://www.mdcalc.com/calc/1741/arterial-blood-gas-abg-
analyzer
o https://www.thoracic.org/professionals/clinical-resources/critical-
care/clinical-education/abgs.php
Neuro
Neurological status
Assessment
Abnormal findings
- Altered mental status
- Weakness
- Numbness/tingling
- Abnormal reflexes
Initial sign of deficit
■ Slurred speech
■ Sudden weakness on one side of body
Be Fast
■ Balance eyes face arms speech time
■ Facial dropping arm weakness slurred speech
■ Time – get fast medical attention
Posturing
NUR 445 Exam 3 Comprehensive Study Guide: Key Concepts & Resources
, NUR 445 Exam 3 Comprehensive Study Guide: Key Concepts & Resources
■ Decerebrate
o Arms and legs extended and the hands are rotated outward
■ Decorticate
o Arms and legs flexing and turning inward
Richmond Agitation Sedation Scale (titrating sedatives)
■ Assess pt’s level of sedation or agitation
■ Titrate solution
Brain Tumor
Medications contraindicated
■ Corticosteriods
■ NSAIDS
■ Aspirin
■ Chemo drugs
■
Clinical manifestations
■ Headaches
■ Seizures
■ Cognitive changes ( trouble concentrating or personality)
■ Motor deficits ( weakness, loss of coordination)
■ Blurred vision
■ N/V
Increased Intracranial Pressure
Clinical Manifestations (early and late)
■ Early
o Headache
o N/V
o Change in mental stautus
o Papilledema
o Vision changes
o Lethargy
■ Late
o Decreased level of consciousness
o Bradycardia
o Hypertension
o Abnormal posturing
NUR 445 Exam 3 Comprehensive Study Guide: Key Concepts & Resources
NUR 445 Exam 3 Comprehensive Study
Guide: Key Concepts & Resources
Exam 3 Study Guide
Hoffman, J., & Sullivan, N. (2019). Davis Advantage for Medical-
Surgical Nursing: Making Connections to Practice (2nd ed.). FA Davis.
oCh. 27 and 36-39
• Videos: Be sure to watch videos
o https://www.youtube.com/watch?v=Ipu-z4Bz168
o https://www.youtube.com/watch?v=Airun30OqrU
o https://www.youtube.com/watch?v=Tul9sm30QNo
o https://www.youtube.com/results?
search_query=brain+herniation
o https://www.youtube.com/watch?v=Vsy2hXRrlOE
• Websites:
o https://www.mdcalc.com/calc/1741/arterial-blood-gas-abg-
analyzer
o https://www.thoracic.org/professionals/clinical-resources/critical-
care/clinical-education/abgs.php
Neuro
Neurological status
Assessment
Abnormal findings
- Altered mental status
- Weakness
- Numbness/tingling
- Abnormal reflexes
Initial sign of deficit
■ Slurred speech
■ Sudden weakness on one side of body
Be Fast
■ Balance eyes face arms speech time
■ Facial dropping arm weakness slurred speech
■ Time – get fast medical attention
Posturing
NUR 445 Exam 3 Comprehensive Study Guide: Key Concepts & Resources
, NUR 445 Exam 3 Comprehensive Study Guide: Key Concepts & Resources
■ Decerebrate
o Arms and legs extended and the hands are rotated outward
■ Decorticate
o Arms and legs flexing and turning inward
Richmond Agitation Sedation Scale (titrating sedatives)
■ Assess pt’s level of sedation or agitation
■ Titrate solution
Brain Tumor
Medications contraindicated
■ Corticosteriods
■ NSAIDS
■ Aspirin
■ Chemo drugs
■
Clinical manifestations
■ Headaches
■ Seizures
■ Cognitive changes ( trouble concentrating or personality)
■ Motor deficits ( weakness, loss of coordination)
■ Blurred vision
■ N/V
Increased Intracranial Pressure
Clinical Manifestations (early and late)
■ Early
o Headache
o N/V
o Change in mental stautus
o Papilledema
o Vision changes
o Lethargy
■ Late
o Decreased level of consciousness
o Bradycardia
o Hypertension
o Abnormal posturing
NUR 445 Exam 3 Comprehensive Study Guide: Key Concepts & Resources
