NUR 145 Final Exam
Broca's aphasia – answer unable to create sentences
Wernicke's aphasia - answer speech is meaningless; unaware
Glasgow Coma Scale measurement - answer eye opening,
motor response, verbal response
3 to 15. 7 or lower means coma
Used in ED, scene of accident, or on the floor
Perform every hour (-2 call doctor)
,EEG - before: answer
clean hair no crap
no sedatives
EAT
continuous monitoring - tell fam
after: answer
pt. can't drive themselves
wash hair
Lumbar puncture - before: answer
explain
place pt in fetal position
, after:
vitals and neuro checks
bedrest / remain flat
increase fluids
monitor for comp. of increased pressure (ha, nv, LOC changes)
Observe insertion site for leakage
Contrast dye precautions - answer serum creatinine >1.5 puts at
r/f kidney damage
NO METFORMIN (lactic acidosis)
dc metformin and NSAIDS 48 hr after
obtain consent for procedure
CT, angiogram, PET
Broca's aphasia – answer unable to create sentences
Wernicke's aphasia - answer speech is meaningless; unaware
Glasgow Coma Scale measurement - answer eye opening,
motor response, verbal response
3 to 15. 7 or lower means coma
Used in ED, scene of accident, or on the floor
Perform every hour (-2 call doctor)
,EEG - before: answer
clean hair no crap
no sedatives
EAT
continuous monitoring - tell fam
after: answer
pt. can't drive themselves
wash hair
Lumbar puncture - before: answer
explain
place pt in fetal position
, after:
vitals and neuro checks
bedrest / remain flat
increase fluids
monitor for comp. of increased pressure (ha, nv, LOC changes)
Observe insertion site for leakage
Contrast dye precautions - answer serum creatinine >1.5 puts at
r/f kidney damage
NO METFORMIN (lactic acidosis)
dc metformin and NSAIDS 48 hr after
obtain consent for procedure
CT, angiogram, PET
