NR341 / NR-341 Exam 2 (Latest
Update 2024 / 2025): Complex Adult
Health | Complete Guide with Questions and Verified Answers | 100% Correct - Chamberlain
Question:
If a patient who is in septic shock gets antibiotics and fluid, and they still aren't improving, what should be give them?
Answer:
give norepinephrine (levophed) to raise the BP
Question:
What is the only type of shock will you see bradycardia?
Answer:
neurogenic
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Question:
What is normal ICP?
Components (monro-kellie doctrine):
- brain tissue
- blood
- CSF fluid
Answer:
5-15mm hg
Question:
What is normal cerebral perfusion pressure (CPP)? How is it determined?
Answer:
60-80mm hg
it is determined by MAP - ICP = CPP
if CPP is inadequate, ischemia or infarction can occur
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Question:
- associated with neurological problems
- ICP 20mm hg or greater for 5 minutes or longer
Results from:
1. Increased blood volume:
- loss of autoregulation
- decreased oxygenation
- obstruction
2. Increased blood volume:
- cerebral edema
3. Increased CSF:
- hydrocephalus
Nursing management:
- map between 70-90mm hg
- CPP at least 70mm hg
- avoid HTN and hypotension
- temperature control
- sedation
- seizure prophylaxis
- neuromuscular blockade
- diuretics (mannitol)
- steroids 3 / 4
- fluids
- strict I&Os
- serum osmolality needs to be less than 320
- HOB 30 degrees
- head in neutral position
- suction only when absolutely necessary (preoxygenate before and limit to 10
- no knee bending
- stool softeners
- minimize external stimuli
sec)
Answer:
increased ICP
Question:
Flexion
Answer:
decoritcate Posturing
Question:
extension
Answer:
deceberate posturing
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