NURS 210 MED SURG FINAL EXAM
QUESTIONS WITH CORRECT ANSWERS
Total Patient Care Model - CORRECT ANSWER✔✔-12 hour shift
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Functional Nursing - CORRECT ANSWER✔✔-Task approach delegated by
| | | | | | |
RN to individual
| | |
Team Nursing - CORRECT ANSWER✔✔-RN is team leader
| | | | | | |
Primary Nursing - CORRECT ANSWER✔✔-24 hr management and
| | | | | | | |
coordination
Nurse Care Manager - CORRECT ANSWER✔✔-Does all the above. Bad
| | | | | | | | | |
for hospital financial rating
| | |
CVA (stroke) - CORRECT ANSWER✔✔-Blood rich o2 not reaching brain
| | | | | | | | | |
cells
TIA - CORRECT ANSWER✔✔-warning signs of stroke
| | | | | |
,Cerebral Anoxia - CORRECT ANSWER✔✔-- oxygen deprivation to the
| | | | | | | | |
brain
- 10+ mins of it = irreversible changes, RISK FOR ASPIRATION
| | | | | | | | | |
Ischemic Stroke - CORRECT ANSWER✔✔-(80-90%) sudden blood loss to
| | | | | | | | |
brain
Thrombotic Stroke (plaque rupture) - CORRECT ANSWER✔✔-sx
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progressively worse as infraction and edema increase over 72 hrs. LOC
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decreases within first 24 hrs | | | |
Embolic Stroke (clot broke traveling) - CORRECT ANSWER✔✔-- Sudden
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severe sx 72 hrs. Headache.
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- Criteria -CT, norm BG, INR, Platelets, BP <185/110
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- Tx TPA 3-4 1/2 hrs of onset to dissolve clot
| | | | | | | | | |
- TPA ex Activase, Retavase
| | | |
Hemorrhagic Stroke - CORRECT ANSWER✔✔-- HTN (220+) Aneurysm,
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head trauma
| |
- Sudden (mins to hrs), due to ongoing bleeding, seizure common
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- TX NO TPA, it increases bleeding
| | | | | |
- R/F: Afib, smoking, DM, 65+, HTN, obesity, physically inactive
| | | | | | | | |
, - Risk for increased ICP within first 72 hrs = increased BP, decreased
| | | | | | | | | | | | |
HR/RR/LOC, nausea/vomiting, | |
- NO HEPARIN
| |
Seizures - CORRECT ANSWER✔✔-excessive discharge of neurons
| | | | | |
Epilepsy - CORRECT ANSWER✔✔-chronic seizures
| | | |
Tonic - CORRECT ANSWER✔✔-stiff, rigid muscle
| | | | |
Clonic - CORRECT ANSWER✔✔-spasms followed by relaxation
| | | | | |
Tonic-clonic - CORRECT ANSWER✔✔-+ Aura | | | |
Absent - CORRECT ANSWER✔✔-Daydreaming (common in peds
| | | | | | |
patients)
Atonic - CORRECT ANSWER✔✔-loss of muscle tone, legs give out
| | | | | | | | |
Simple/Complex - CORRECT ANSWER✔✔-- Simple: conscious, aware of
| | | | | | | |
what is happening
| |
- Complex: unconscious, not aware, frozen in place
| | | | | | |
QUESTIONS WITH CORRECT ANSWERS
Total Patient Care Model - CORRECT ANSWER✔✔-12 hour shift
| | | | | | | |
Functional Nursing - CORRECT ANSWER✔✔-Task approach delegated by
| | | | | | |
RN to individual
| | |
Team Nursing - CORRECT ANSWER✔✔-RN is team leader
| | | | | | |
Primary Nursing - CORRECT ANSWER✔✔-24 hr management and
| | | | | | | |
coordination
Nurse Care Manager - CORRECT ANSWER✔✔-Does all the above. Bad
| | | | | | | | | |
for hospital financial rating
| | |
CVA (stroke) - CORRECT ANSWER✔✔-Blood rich o2 not reaching brain
| | | | | | | | | |
cells
TIA - CORRECT ANSWER✔✔-warning signs of stroke
| | | | | |
,Cerebral Anoxia - CORRECT ANSWER✔✔-- oxygen deprivation to the
| | | | | | | | |
brain
- 10+ mins of it = irreversible changes, RISK FOR ASPIRATION
| | | | | | | | | |
Ischemic Stroke - CORRECT ANSWER✔✔-(80-90%) sudden blood loss to
| | | | | | | | |
brain
Thrombotic Stroke (plaque rupture) - CORRECT ANSWER✔✔-sx
| | | | | | |
progressively worse as infraction and edema increase over 72 hrs. LOC
| | | | | | | | | | |
decreases within first 24 hrs | | | |
Embolic Stroke (clot broke traveling) - CORRECT ANSWER✔✔-- Sudden
| | | | | | | | |
severe sx 72 hrs. Headache.
| | | |
- Criteria -CT, norm BG, INR, Platelets, BP <185/110
| | | | | | | |
- Tx TPA 3-4 1/2 hrs of onset to dissolve clot
| | | | | | | | | |
- TPA ex Activase, Retavase
| | | |
Hemorrhagic Stroke - CORRECT ANSWER✔✔-- HTN (220+) Aneurysm,
| | | | | | | |
head trauma
| |
- Sudden (mins to hrs), due to ongoing bleeding, seizure common
| | | | | | | | | | |
- TX NO TPA, it increases bleeding
| | | | | |
- R/F: Afib, smoking, DM, 65+, HTN, obesity, physically inactive
| | | | | | | | |
, - Risk for increased ICP within first 72 hrs = increased BP, decreased
| | | | | | | | | | | | |
HR/RR/LOC, nausea/vomiting, | |
- NO HEPARIN
| |
Seizures - CORRECT ANSWER✔✔-excessive discharge of neurons
| | | | | |
Epilepsy - CORRECT ANSWER✔✔-chronic seizures
| | | |
Tonic - CORRECT ANSWER✔✔-stiff, rigid muscle
| | | | |
Clonic - CORRECT ANSWER✔✔-spasms followed by relaxation
| | | | | |
Tonic-clonic - CORRECT ANSWER✔✔-+ Aura | | | |
Absent - CORRECT ANSWER✔✔-Daydreaming (common in peds
| | | | | | |
patients)
Atonic - CORRECT ANSWER✔✔-loss of muscle tone, legs give out
| | | | | | | | |
Simple/Complex - CORRECT ANSWER✔✔-- Simple: conscious, aware of
| | | | | | | |
what is happening
| |
- Complex: unconscious, not aware, frozen in place
| | | | | | |
