Nur 265 Study guides, Class notes & Summaries

-decreased LOC(lethargy to coma) -restlessness, irritability, confusion -headache -projectile N&V -change in speech pattern/slurred speech -dilated nonreactive pupils or constructed nonreactive pupils -ataxia -seizure -abnormal posturing -Cushing's triad: severe HTN, widened pulse pressure, bradycardia Key sx of increased ICP - Symptoms of increased ICP -severe HTN, widened pulse pressure, bradycardia What is Cushing's triad - Most at risk during 1st 72 hours after stroke onset ...

Exam 2: NUR265/ NUR 265 (Latest 2023/ 2024 Update) Advanced Concepts of Medical-Surgical Nursing Exam Review| Grade A| Questions and Verified Answers| 100% Correct| - Galen Q: What should be done when a patient is in respiratory distress? Answer: *Call for help, disconnect the vent, start bagging the patient, then reassess* Q: What are ways to prevent VAP? Answer: *Remove water from circuits* *HOB up to 30 degrees* Turn Q2h Suction Oral care Q2H Prevent aspiration L...

What is encephalitis? - inflammation or infection of the brain What causes encephalitis? - West Nile Virus Herpes What are the s/s of encephalitis? - High fever, N/V, stiff neck Flu like symptoms change in LOC photophobia pupil changes (dilate & less responsive to light) What is used to dx encephalitis? - lumbar puncture EEG CT (looks for mass) What are N/I for encephalitis? - Neuro checks Monitor for s/s of ICP Suction only resp compromised HOB 30-45 Decrease stimuli What is the...

Exam 4: NUR265/ NUR 265 (Latest 2023/ 2024 Update) Advanced Concepts of Medical-Surgical Nursing Exam Review| Complete Guide with Questions and Verified Answers| 100% Correct- Galen Q: Lyme Disease: Hallmark sign Answer: stage 1: "bulls eye rash" and flu-like symptoms Stage 2: facial paralysis, carditis, meningitis Q: Lyme Disease: Assess Answer: Skin history of tick bites Q: Lyme Disease: Interventions Answer: prevention! Insect repellant with DEET earl...

NUR 265 - Exam 4 Questions with Answers. The nurse working in the ED is triaging a client who has presented with chest pain, shortness of breath, a productive cough, and reports nights sweats. That clients health history includes the presence of acquired immunodeficiency syndrome (AIDS) and the recent laboratory results that reveal a low CD4+ count. Airborne precautions have been initiated. Which of the following actions should the nurse take next? RATIONALE: A fever is a symptom of AIDS ...

Exam 3: NUR265 / NUR 265 (Latest 2024 / 2025 Update) Advanced Concepts of Medical–Surgical Nursing Exam | Questions and Verified Answers | 100% Correct | Grade A - Galen Q: Which finding indicates to the nurse that a client with a burn injury has a positive perception of his appearance? Answer: Performing his own morning care. Indicators that the client with a burn injury has a positive perception of his appearance includes the willingness to touch the affected body part. Self-care activities ...

ATI MEDSURG 2 NUR 265/DETAILED ANSWER KEY NEURO-SHOCK & BURNS PRACTICE 2024/2025. 1. A nurse in the emergency department is implementing a plan of care for a conscious client who has a suspected cervical cord injury. Which of the following immediate interventions should the nurse implement? (Select all that apply.) A. Hypotension B. Polyuria C. Hyperthermia D. Absence of bowel sounds E. Weakened gag reflex Rationale: <b>Hypotension is correct.</b> Lack of sympathetic input c...

NUR 265 Exam 2 How is an ET tube placement confirmed? - Correct Answer -From first to last ETCO2 20-40mmHg Chest symmetry Listen to left/right/abdomen Chest X-Ray Describe the A/C vent mode. - Correct Answer -The vent does everything for the patient. It delivers a set amount of breaths per minute Describe SIMV vent mode. - Correct Answer -The pt attempts to breath and the vent assists with their breaths What are the different ventilator settings? - Correct Answer -Mode FiO2 Rate Tida...

NUR 265 EXAM 3 REVIEW #1: The nurse is working in the emergency department (ED) is admitting a client who has sustained a traumatic brain injury (TBI) following a motor vehicle crash. It is priority for the nurse to notify the primary healthcare provider (PHCP) in the client: Takes prescribed warfarin daily. RATIONALE: Pg. 2400. Hemorrhage may occur as part of the primary injury and begin at the moment of impact. Warfarin is a blood thinner and the patient may bleed out if they have a hemato...