MDC 4 Exam 1 -QUESTIONS WITH COMPLETE SOLUTIONS Rasmussen University.LATEST UPDATE WITH 10, Exams of Nursing

Download MDC 4 Exam 1 -QUESTIONS WITH COMPLETE SOLUTIONS Rasmussen University.LATEST UPDATE WITH 10 and more Exams Nursing in PDF only on Docsity! MDC 4 Exam 1 -QUESTIONS WITH COMPLETE SOLUTIONS Rasmussen University.LATEST UPDATE WITH 100% CORRECT ANSWERS.TOP RANKED A+ 1. Which Migraine medications cannot be used in a patient with cardiac diseases and why? - ✅✅Triptans and Ergotamine preparations- they will cause additional vasoconstriction of the head blood vessels 2. What does abortive therapy do for migraines? - ✅✅alleviate pain after the headache starts 3. What does preventative therapy do for migraines? - ✅✅prevent a headache is it occurs more than twice a week or is severe. 4. A patient is taking beta blocker and calcium channel blockers to prevent a migraine. What education should the nurse give to the patient regarding these medications? - ✅✅Do not stop the medications 5. What are some trigger foods for migraines? - ✅✅aged cheeses, smoked meats, fermented deli meats, pickles, beer, wine, nuts (think tyramine) 6. A patient is trying to see what things trigger their migraines. What education can the nurse provide? - ✅✅Keep a food diary and determine what foods may make the migraine occur. 7. A patient tells the nurse that they see flashing lights before their headache starts. What is this called? - ✅✅Aura 8. A aura may happen with _______ and ________. - ✅✅Migraines, Seizures pg. 1 9. S/S of Migraines - ✅✅Photophobia, N,V,head pain, phonophobia 10.A patient tells their spouse who is a nurse they are having a migraine. What would the nurse tell them to do? - ✅✅Go into a cool dark room and rest while sitting up. 11.A nurse is setting up a room for a patient coming in for a seizure. What things should be included in the room? - ✅✅Working suction and o2, padded bed side rails, placement of an IV when patient arrives. 12.What should you never place in a patients mouth when they are having a seizure? - ✅✅Tongue blade 13.What is the term for a seizure lasting more than 5 minutes or having multiples in a 30 min period? - ✅✅Status Epilepticus 14.What can you give to stop a seizure? - ✅✅IV benzo 15.A patient states to the nurse before leaving the doctors office his provider will place him on phenytoin. What education should the nurse give? - ✅✅Do not stop the medication- if so a seizure may occur. 16.A patient with a seizure disorder suddenly freezes up and drops without twitching. What type of seizure is this called? - ✅✅Tonic pg. 2 34.What is one medication we can give to a patient experiencing spasms of the face from trigeminal neuralgia? - ✅✅Baclofen 35.What are the highest priorities during the post-op period? - ✅✅Patent airway and oxygen saturation 36.At what level of the body will a patient have autonomic dysreflexia? - ✅✅Above a T6 fracture 37.A patient with a T1 fracture starts to have a headache and flushing of the skin. his most recent vitals are BP 170/90, HR is 50. What are interventions to assist with these manifestations? - ✅✅Sit them up and look for a cause such as a full bladder and solve it 38.What are some preoperative priorities? - ✅✅Confirm consent is signed, verify any allergies, educate patient on what to expect during and after the procedure, ensure patient has been NPO for 6-8 hrs, baseline vitals, confirm the most recent labs, medications, pregnancy test. 39.What can UAPs not do? - ✅✅Assess, evaluate, or teach. No unstable patients, no meds, no invasive procedures. 40.A patient who had a stroke has his meal on the floor. No modified barium swallow has been done yet. The UAP asks to go feed the patient. Should the nurse intervene? - ✅✅Yes- the patient could aspiration without having the proper diet and feeding precautions established 41.Parts of the Glasgow Coma Scale are: - ✅✅Eye opening response, motor response, verbal response. pg. 5 42.If a patient has a GCS score of 8, what are they most likely in? - ✅✅Coma 43.If a patient has a GCS score of 3, what is happening? - ✅✅They dead 44.Decorticate posturing - ✅✅characterized by upper extremities flexed at the elbows and held closely to the body and lower extremities that are externally rotated and extended. occurs when the brainstem is not inhibited by the motor function of the cerebral cortex. 45.Decerebrate posturing - ✅✅posturing in which the neck is extended with jaw clenched; arms are pronated, extended, and close to the sides; legs are extended straight out; more ominous sign of brain stem damage. Most Severe. 46.What are priorities when patient is in the OR? - ✅✅Safety and Infection Control 47.What is evisceration? - ✅✅protrusion of visceral organs through a wound opening 48.What is dehiscence? - ✅✅A separation of the wound incision 49.A patient tells the nurse that when he went to cough her felt a popping sensation. Part of his intestines is out. What does the nurse do next? - ✅✅Call for help, place a sterile moistened gauze over the area, patient will go to OR. pg. 6 50.How do we know a JP drain is working? - ✅✅The bulb is squeezed and collapsed for suction 51.Who should the nurse place a consult in for a patient who had a stroke and needs a swallow eval? - ✅✅Speech Therapist 52.A nurse notices a patient with a head injury has clear fluid draining from his ear. What is the nurses next action? - ✅✅Assess it for presence of CSF with halo sign and glucose concentration 53.What interventions should the nurse do for a patient with increased ICP? - ✅✅Provide a low stimuli, quiet room with patient sitting up with head in neutral position. 54.A nurse sees that a patient with an ICP of 24 is going for an lumbar puncture. What is the nurses next action? - ✅✅Call the provider to have the procedure cancelled as increased ICP is contraindicated for a lumbar puncture. 55.What medication can be given to reduce increased ICP? - ✅✅Mannitol through a filter needle 56.What are early s/s of increased ICP - ✅✅LOC change, vision changes 57.What are late s/s of increased ICP? - ✅✅vomiting, blown pupils, Cushing triad pg. 7 79.A patient says that his parents had a history of TIAs and died of stroke. The patient already has hypertension. What type of factor is the history of TIAs? - ✅✅Non modifiable 80.What is conscious sedation made of? - ✅✅Benzodiazepine and Opioid 81.What is an effect of conscious sedation? - ✅✅Amnesia 82.What are manifestations of Alzheimers? - ✅✅loss of memory, judgment, and visuospatial perception; change in personality; increasing cognitive impairment, wandering 83.What are some interventions to help a patient with Alzheimers? - ✅✅Use validation, routine, exercise and rest, educate family. 84.s/s of neurogenic shock - ✅✅low BP 85.S/S of spinal shock - ✅✅decreased DTRs 86.What are some important post op interventions to prevent complications? - ✅✅Early ambulation, Ted hose, leg exercises, spirometry, sit up, fluids 87.A patient has a PCA pump. What education should be given? - ✅✅Do not let family push the pump button, will only give certain amounts of medication per hour. 88.What precaution do we put a patient with meningitis? - ✅✅Droplet pg. 10 89.S/S meningitis - ✅✅nuchal rigidity, HA, photophobia, kerning and brudunzski sign 90.Malignant hyperthermia. When does it occur? - ✅✅Within 30 mins of anesthesia administration to days post op. 91.treatment of malignant hyperthermia - ✅✅call for help, give dantrolene, cooling blankets 92.S/S of Bell's Palsy - ✅✅inability to wrinkle forehead 93.What is the role of the nurse when it comes to consent? - ✅✅Witness the consent being signed 94.Who gets the consent from the patient for surgery? - ✅✅Surgeon 95.What is time out? - ✅✅occurs just before the start of the surgical procedure to recheck the patient's identity, the surgical procedure to be performed, and the site of the surgery. 96.How long do you do a surgical scrub? - ✅✅3-5 mins 97.What is a sponge count? - ✅✅done to prevent retained surgical items. Occurs during and before surgery pg. 11 98.What must be done before the patient goes to surgery? - ✅✅Surgical checklist 99.How does OR affect older adults? - ✅✅Anesthesia is unable to be excreted well 100. Delirium 101. Greater healing period 102. Falls pg. 12