When she attempts to talk, she slurs her speech and appears very frightened. 1. Which additional clinical manifestation(s) should the nurse expect to find if Nancy's symptoms have been caused by a brain attack (stroke)? (Select all that apply.) A) A carotid bruit.
5. Why are his isoenzymes elevated? What pathology caused this? They are elevated due to his Myocardial Infarction. LDH-1 level higher than that of LDH-2 is indicative of a heart attack or injury.
Spring 2015 Study Guide RNSG 1301 Pharmacology Quiz #6 (Ch 31-36z0 Questions 1-31 and multiple response questions 1-6 ) and Ch 37-40 Answers included for 32-48 and all multiple response questions (7 total) Multiple Choice Identify the choice that best completes the statement or answers the question. ____ 1. A patient with schizophrenia has been taking an antipsychotic drug for several days. The nurse enters the patient’s room to administer a dose of haloperidol (Haldol) and finds the patient having facial spasms. The patient’s head is thrust back, and the patient is unable to speak.
Points Earned: 0.0/1.0 Correct Answer(s): D 7. The nurse is completing an admission interview and assessment on a client with a history of Parkinson's disease. Which question should provide information relevant to the client's plan of care? A) Have you ever experienced any paralysis of your arms or legs? Feedback: INCORRECT B) Have you ever sustained a severe head injury?
Assign appropriate E/M codes for the following five cases: • Initial consultation is performed for a 78-year-old woman with unexplained weight loss, abdominal pain, and rectal bleeding. A comprehensive history and examination is performed. This patient is a new patient and it is necessary to get the patients health and family history. Since the patient is a new patient she needs a comprehensive amount of data. It is very important to get the history to figure out what may be causing these symptoms.
D) Daily enemas will be needed to help achieve a bowel movement. The nurse is discussing autonomic dysreflexia with Jonathan, his girlfriend, and his mother. To evaluate the teaching, the nurse asks Jonathan to explain what it means. 22. Which statement by Jonathan indicates an understanding of autonomic dysreflexia?
Nursing Sensitive Indicators Nurse sensitive indicators included in this case are Mr. J’s use of restraints, complications of pressure ulcers, and patient satisfaction. Had the nurse who was caring for Mr. J been aware about the risks of pressure ulcer development with the use of restraints, the beginning stage of a pressure ulcer could have been prevented. Better RN assessment of Mr. J’s restraints, repositioning Mr. J every two hours and a thorough skin assessment should be done at every shift. The NA should be instructed to notify RN if they see anything out of the ordinary with patients, such as the redness to the lower spine of Mr. J. The nursing staff assigned to Mr. J will need additional training about restraints as far as appropriate use of restraints and how to care for a patient who is restrained.
The type, and severity of stroke symptoms depends on the location of the and severity of brain ischemia 4. List the risk factors that predispose an individual to suffer a stroke. What are the five warning signs that indicate an individual is having a stroke? Which of the risk factors and warning signs did Mr. Dexter possess based on the clinical history? Risk factors for ischemic stroke include hypertension, age, cigarette smoking, male gender, family history, race, previous stroke, carotid stenosis >80%, atrial fibrillation, congestive heart failure, mitral stenosis, prosthetic cardiac valves, myocardial infarction, and drug abuse (e.g., cocaine).
Is more frequently in females then in males (Transition: So you might be wondering what the symptoms of Dandy Walker are?) II. Most common symptom is Hydrocephalus and most severe A. According to the Hydrocephalus Foundation Hydrocephalus is an abnormal build up of the brain’s normal cerebrospinal fluid 1. This build up can cause the head to increase in size.
When a resident is observed to have a condition change, the nurse performs an assessment and makes a decision whether or not to notify the physician and the resident’s family or guardian. The most common symptoms that resulted in the transport of residents to a hospital emergency room were respiratory distress, altered mental status, gastrointestinal symptoms, and falls (Ackermann, Kemle, Vogel & Griffin, 1998). The changes in mental status could