NSG 233 - Medical-Surgical Nursing III
Exam 2
Question:
Pushes the painful stimulus away
Answer:
Expected response to painful stimulus in motor function assessment.
Question:
Adjust the client's head of bed
Answer:
Action to maintain cerebral perfusion pressure in severe traumatic brain injury.
Question:
Reduce edema of the brain
Answer:
Purpose of administering osmotic diuretic to client with increased intracranial pressure.
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Question:
Extension of the arms
Answer:
Expected finding in decerebrate posturing.
Question:
Elevate the head of the bed
Answer:
Intervention to promote reduction of intracranial pressure.
Question:
Use pillows to keep heels off the bed surface
Answer:
Nursing action to prevent skin breakdown in client with spinal cord injury and paralysis.
Question:
Nuchal rigidity
Answer:
Manifestation of increased intracranial pressure in client with suspected bacterial meningitis.
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Question:
Brisk pupillary reaction to light
Answer:
Expected finding in infant with motor vehicle crash and increased intracranial pressure.
Question:
Paraplegia
Answer:
Type of disability associated with spinal cord injury at T2-T3 vertebrae.
Question:
Pacemaker spikes before each QRS complex
Answer:
Indication of proper functioning of ventricular pacemaker.
Question:
Hypotension
Answer:
Adverse effect of verapamil, a calcium channel blocker.
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