NUR 2392/ NUR2392 Final Exam |
Multidimensional Care II Final Exam Study
Guide | Updated 2024/2025
What are the 3 structural emergencies?
- Correct Answer - Epidural spinal cord compression
Malignant pericardial effusion
Superior vena cava syndrome
Epidural spinal cord compression
- Correct Answer - -MC complication of metastatic cancer to the spine.
-Patients present with back pain that precedes the development of lower
extremity weakness or paraplegia by several weeks.
-Patients also typically have pain that radiates to the thoracic dermatomes,
commonly described as wrapping around the torso. Decreased sensation in
the lower extremities is also common. Bowel incontinence and urinary
retention are late manifestations.
Initial management is with high-dose corticosteroids (e.g., dexamethasone)
to reduce the inflammation and edema, thereby decreasing compression
on the spinal cord.
Definitive management involves surgical decompression and/or external
beam radiation therapy.
,Epidural spinal cord compression is associated with what
- Correct Answer - breast, lung, renal, and prostate cancer and myeloma
epidural spinal cord compression s&s
- Correct Answer - new onset back pain; worsens when laying down
late paraplegia
incontinence
loss of sensory function
epidural spinal cord compression treatment
- Correct Answer - radiation and/or surgical intervention
epidural spinal cord compression nursing care
- Correct Answer - assess for neurological deficits
mange pain
administer meds
prevent skin breakdown
provide support
Malignant Pericardial Effusion
- Correct Answer - Excess fluid accumulates in pericardial sac,
compresses heart, no heart movement, cardiac tamponade.
Malignant pericardial effusion is associated with what?
- Correct Answer - metastatic lung and breast cancer, melanoma,
leukemia, lymphoma, and chemotherapy to the chest wall
, Malignant Pericardial Effusion S&S
- Correct Answer - dyspnea
fatigue
distended neck veins
distant heart sounds
tachycardia
orthopnea
narrow pulse pressure
pulsus paradoxus
Malignant pericardial effusion treatment
- Correct Answer - radiation
surgical intervention
malignant pericardial effusion nursing care
- Correct Answer - assess for neurological deficits
mange pain
admin meds
prevent skin breakdown
provide support
Superior Vena Cava Syndrome
- Correct Answer - Due to compression of the superior vena cava walls
by a tumor, which prohibits the venous return of blood to the heart
superior vena cava syndrome is associated with what?
Multidimensional Care II Final Exam Study
Guide | Updated 2024/2025
What are the 3 structural emergencies?
- Correct Answer - Epidural spinal cord compression
Malignant pericardial effusion
Superior vena cava syndrome
Epidural spinal cord compression
- Correct Answer - -MC complication of metastatic cancer to the spine.
-Patients present with back pain that precedes the development of lower
extremity weakness or paraplegia by several weeks.
-Patients also typically have pain that radiates to the thoracic dermatomes,
commonly described as wrapping around the torso. Decreased sensation in
the lower extremities is also common. Bowel incontinence and urinary
retention are late manifestations.
Initial management is with high-dose corticosteroids (e.g., dexamethasone)
to reduce the inflammation and edema, thereby decreasing compression
on the spinal cord.
Definitive management involves surgical decompression and/or external
beam radiation therapy.
,Epidural spinal cord compression is associated with what
- Correct Answer - breast, lung, renal, and prostate cancer and myeloma
epidural spinal cord compression s&s
- Correct Answer - new onset back pain; worsens when laying down
late paraplegia
incontinence
loss of sensory function
epidural spinal cord compression treatment
- Correct Answer - radiation and/or surgical intervention
epidural spinal cord compression nursing care
- Correct Answer - assess for neurological deficits
mange pain
administer meds
prevent skin breakdown
provide support
Malignant Pericardial Effusion
- Correct Answer - Excess fluid accumulates in pericardial sac,
compresses heart, no heart movement, cardiac tamponade.
Malignant pericardial effusion is associated with what?
- Correct Answer - metastatic lung and breast cancer, melanoma,
leukemia, lymphoma, and chemotherapy to the chest wall
, Malignant Pericardial Effusion S&S
- Correct Answer - dyspnea
fatigue
distended neck veins
distant heart sounds
tachycardia
orthopnea
narrow pulse pressure
pulsus paradoxus
Malignant pericardial effusion treatment
- Correct Answer - radiation
surgical intervention
malignant pericardial effusion nursing care
- Correct Answer - assess for neurological deficits
mange pain
admin meds
prevent skin breakdown
provide support
Superior Vena Cava Syndrome
- Correct Answer - Due to compression of the superior vena cava walls
by a tumor, which prohibits the venous return of blood to the heart
superior vena cava syndrome is associated with what?
