MDC 4 Exam 1 Questions with Complete Solutions: Rasmussen University. LATEST UPDATED 2024, Exams of Nursing

Download MDC 4 Exam 1 Questions with Complete Solutions: Rasmussen University. LATEST UPDATED 2024 and more Exams Nursing in PDF only on Docsity! MDC 4 Exam 1 -QUESTIONS WITH COMPLETE SOLUTIONS Rasmussen University. LATEST UPDATED 2024 WITH 100% CORRECT ANSWERS.TOP RANKED FOR GRADE 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. pg. 1 MDC 4 Exam 1 -QUESTIONS WITH COMPLETE SOLUTIONS Rasmussen University.LATEST UPDATED 2024 WITH 100% CORRECT ANSWERS.TOP RANKED FOR GRADE A+ 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 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 pg. 2 MDC 4 Exam 1 -QUESTIONS WITH COMPLETE SOLUTIONS Rasmussen University.LATEST UPDATED 2024 WITH 100% CORRECT ANSWERS.TOP RANKED FOR GRADE A+ 29. MS treatment - steroids and the S/S 30. What is a hallmark manifestation of guillan barre? - Ascending paralysis 31. What is a concern we can have with guillan barre? - Will eventually reach its way to diaphragm and cause respiratory compromise and need for mechanical ventilation 32. When can one get Gillian barre? - After a virus or vaccine 33. What is trigeminal neuralgia? - Pain of the CN 5, causes pain in the face. 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 pg. 5 MDC 4 Exam 1 -QUESTIONS WITH COMPLETE SOLUTIONS Rasmussen University.LATEST UPDATED 2024 WITH 100% CORRECT ANSWERS.TOP RANKED FOR GRADE A+ 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. 42. If a patient has a GCS score of 8, what are they most likely in? - Coma pg. 6 MDC 4 Exam 1 -QUESTIONS WITH COMPLETE SOLUTIONS Rasmussen University.LATEST UPDATED 2024 WITH 100% CORRECT ANSWERS.TOP RANKED FOR GRADE A+ 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? - pg. 7 MDC 4 Exam 1 -QUESTIONS WITH COMPLETE SOLUTIONS Rasmussen University.LATEST UPDATED 2024 WITH 100% CORRECT ANSWERS.TOP RANKED FOR GRADE A+ 64. A patient has myasthenia gravis. What education should the patient be given based on medication? - Take meds before activity, up to 1 hr before 65. Too much Ach= - cholinergic crisis 66. Too little Ach= - myasthenia crisis 67. What medication do we give to correct a myasthenia crisis? - endrophonium 68. What medication do we give to correct a cholinergic crisis? - Atropine 69. What is bells palsy often confused with? - Stroke 70. What type of CT should we give a stroke patient and why? - W/O contrast as we need the scan quickly 71. How to we diagnose myasthenia gravis? - Tensillion test pg. 10 MDC 4 Exam 1 -QUESTIONS WITH COMPLETE SOLUTIONS Rasmussen University.LATEST UPDATED 2024 WITH 100% CORRECT ANSWERS.TOP RANKED FOR GRADE A+ 72. What is a hemorrhagic stroke? - A stroke caused by bleeding into the brain from trauma or ruptured blood vessel 73. S/S one is having hemorrhagic stroke? - Headache 74. What actions should be taken with a patient with a hemorrhagic stroke? - Control BP 75. What is a precursor to an ischemic stroke? - transient ischemic attack 76. What is a cause of an ischemic stroke? - A fib 77. What is TPA used to treat? - Ischemic strokes 78. What is important to know before starting a patient on TPA? - When stroke symptoms first started, if patient has Afib 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 pg. 11 MDC 4 Exam 1 -QUESTIONS WITH COMPLETE SOLUTIONS Rasmussen University.LATEST UPDATED 2024 WITH 100% CORRECT ANSWERS.TOP RANKED FOR GRADE A+ 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. pg. 12 MDC 4 Exam 1 - QUESTIONS WITH COMPLETE SOLUTIONS Rasmussen University. LATEST UPDATED 2024 WITH 100% CORRECT ANSWERS.TOP RANKED FOR GRADE A+