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GNRS 558 MED_SURG EXAM 1 BRAIN, ALZHEIMER-S, PARKINSON-S, MS, GBS, REHABILITATION QUESTIONS WITH COMPLETE ANSWERS

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GNRS 558 MED_SURG EXAM 1 BRAIN, ALZHEIMER-S, PARKINSON-S, MS, GBS, REHABILITATION QUESTIONS WITH COMPLETE ANSWERS

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Planning and implementation for Alzheimer's disease


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Manage memory and cognitive dysfunction

Nonpharmacologic interventions


Drug therapy


Prevent injuries or accidents

Prevent elder abuse




Criteria for early spinal injury surgery


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, Surgery within 24 hours of injury to stabilize the vertebral spinal column to
prevent secondary injury and decrease of secondary complications.



Evidence of cord compression


Progressive neurologic deficit

Compound fracture


Bony fragments

Penetrating wounds of spinal cord or surrounding structures




Priority nursing intervention for autonomic dysreflexia


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Reduce blood pressure

- Elevate head
notify
- Health Care Provider
- Administer antihypertensive

Assess and remove cause

✓ bladder and catheter
✓ bowel distention and impaction
✓ clothing
✓ skin, pain, temperature
Monitor blood pressure




S/S of hypertension

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- May be asymptomatic
- Throbbing or pounding headache
- sense of dread (i'm going to die, something is wrong)
- irritating stimulus (assess bladder and bowels, remove excess clothing)
- check skin integrity




What causes a masklike facial expression in patients with Parkinson's disease?


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caused by the rigidity of facial expressions




Neurogenic shock


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Disruption in the communication pathways between upper motor neurons
and lower motor neurons.




Management of Alzheimer's disease?


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Safety measures to prevent injury, wandering, or falls. Cholinesterase
inhibitors. Behavior management. ADL and mobility assistance

, MRI of Spinal Cord


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determine the degree and extent of damage to the spinal cord and detect
the presence of blood and bone within the spinal column




coup-countercoup injury


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Dual impacting of the brain into the skull




Allow mourning while encouraging hope for patients reduces ___________ and ____________.


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grief and depression




decompression laminectomy


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vertebral laminae are removed from the affected region

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