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NUR 170 EXAM 2 CONCEPTS OF MEDICAL -
SURGICAL NURSING COMPLETE ACTUAL
EXAM WITH ALL QUESTIONS AND VERIFIED
ANSWERS GRADED A+ LATEST VERSION 2024 -
GALEN
Concepts of Medical-Surgical Nursing NUR 170 Exam 2
What are some triggers for migraines - ANSWER>>Caffeine Red wine Stress MSG Tyramine
What are some triggers for clusters - ANSWER>>Usually lifestyle related -Stress, anger, anxiety Can be different for each patient
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2 What does an abortive treatment mean? - ANSWER>>Stop it before it starts (usually stop at aura)
What is the problem with Triptan medications? - ANSWER>>They can cause ischemia in the heart which can cause a heart attack
What are some medications that can be prescribed for patients who receive migraines almost daily? - ANSWER>>Beta blockers Calcium channel blockers Antiepileptics
When on Triptans you should _______ - ANSWER>>Report chest pain and use birth control to prevent birth defects
What are common side effects of Triptans? - ANSWER>>numbness, tingling, flushing, hot sensation
What is a Percutaneous stereoatctic rhizotomy (PSR)? - ANSWER>>A surgical way to get rid of chronic cluster headaches. It is a major brain surgery and is considered a last resort.
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3 What cranial nerve does the PSR surgery deal with? - ANSWER>>Cranial nerve #5
Tonic Clonic seizure - ANSWER>>Muscles + Jerking. Used to be called a Grand Mal Seizure.
Who normally experiences an absent seizure? - ANSWER>>Children
What is a Myoclonic seuzure? - ANSWER>>Bilateral or unilateral extremities
What does posturing tell us about a seizure? - ANSWER>>What part of the brain is being affected
What is a seizure? - ANSWER>>The misfiring of neurons in the brain
What is epilepsy? - ANSWER>>An electrical problem in the brain and they can seize at any given moment
What are some common things that can cause a seizure? - ANSWER>>brain injury, tumor, electrolyte imbalance, fever
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4 What is an idiopathic seizure? - ANSWER>>A seizure where the cause is unknown. Just a one time thing and they don't know what caused it.
What is Decerebrate (posturing)? - ANSWER>>brainstem is involved
What is Decoreticate (posturing)? - ANSWER>>Higher brain is involved (arms are up pulling into core)
What is the postictal phase? - ANSWER>>The "reboot" phase after a seizure. Can take up to 20 minutes for them to wake up.
After a seizure, what do you do the patient? - ANSWER>>- Check vitals
- Neuro checks
- Keep them on side
- Allow to rest
- Document (Type, start, stop, posturing)
Why do you keep the patient on their left side during/after a seizure? - ANSWER>>So they can maintain their airway
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