NUR 2755 Multidimensional Care IV
MDC4 Exam 1
Which nurse is responsible for verifying consent form is signed-
Correct Answer:
circulating nurse
Pt with general anesthetic-
Correct Answer:
know what general anesthetic (Gas to breathe in and med in IV)
Pt understand operative teaching-
Correct Answer:
I will sign consent form, surgeon will want me to ambulate, nurse will want deep breaths following surgery, constipation with pain meds
General anesthesia-
Correct Answer:
Gas and IV medication
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Morning hygiene, ambulation, and routine vitals
Correct Answer:
Can be delegated to a UAP
Atonic Seizure
Correct Answer:
Muscle tone loss, last for seconds, postictal confusion
Seizure Interventions
Correct Answer:
Teach patient to continue phenytoin or other antiepileptics even when seizures have stopped.
Spinal Cord Injury interventions
Correct Answer:
Risk for pressure ulcers, VTE, reposition client every 1-2 hours. Ensure client is wearing dentures during feedings, thicken all fluids
atonic seizure
Correct Answer:
sudden loss of muscle tone
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simple partial seizure
Correct Answer:
Focal seizure in which consciousness is NOT impaired
psuedo-seizures
Correct Answer:
Clinical events that are not associated with abnormal cortical electrical discharges
embolic stroke
Correct Answer:
often result from Heart disease or heart surgery
Apraxia
Correct Answer:
Apraxia is an effect of neurological disease. It makes people unable to carry out everyday movements and gestures.For example, a person with apraxia may be unable to tie their shoelaces or button up a shirt. People with apraxia of speech find it challenging to talk and express themselves through speech.
The patient with a ischemic stroke cannot receive thrombolytic until which vital sign is within normal limits?
Correct Answer:
- / 3