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adult health final questions and answers| Graded A

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adult health final questions and answers| Graded A Glycosylated hemoglobin levels Correct Answer: This test is used to detect if the patient is adhering to the treatment. Thyroidectomy After su... rgery a nurse should have a Correct Answer: tracheostomy tray at the be side. • Guillain Barre' Correct Answer: An autoimmune disease in which there is an acute inflammation of the spinal and cranial nerves • Guillain Barre' symptoms Correct Answer: prickling , pins and needles sensation in fingers, toes, ankles or wrist Weakness in legs that spreads to your upper body Unsteady gait Difficulty with facial movements, including speaking, chewing or swallowing Double vision or inability to move eyes Severe pain Difficult with bladder control or bowel function Signs and symptoms that are symmetrical and ascending that start in the lower extremities Airway obstruction is severe Guillain Barre' diagnosis Correct Answer: - spinal tap -electromyography nerver conduction studies Guillain Barre' nursing consideration Correct Answer: - observe increased work of breathing Guillain Barre' treatment Correct Answer: -Plasma exchange ( plasmapheresis) - immunoglobulin therapy myasthenia gravis (MG) Correct Answer: autoimmune neuromuscular disorder characterized by weakness of voluntary muscles Myasthenia Gravis cause Correct Answer: immune system attack health tissue antibodies attack the neuromuscular junction and causes damage Myasthenia Gravis symptoms Correct Answer: Periodic weakness and muscle fatigue that worsens throughout the day Ptosis, Diplopia Positive Ach receptor antibodies Myasthenia Gravis treatment Correct Answer: -Corticosteroids - -immunosuppressants - pyroidostiigmine Mestinon Parkinson's disease Correct Answer: a progressive disease that destroys brain cells and is identified by muscular tremors, slowing of movement, and partial facial paralysis parkisons disease symptoms Correct Answer: -Bradykinesia -akinesia -tremors -Shuffling gait Parkinsons diagnosis Correct Answer: made through clinical findings Parkinsosns drugs Correct Answer: - levodopa carbidopa-levodopa Stroke Correct Answer: A sudden loss of brain function resulting from a disruption of the blood supply to a parth of the brain ischemic stroke Correct Answer: this is the loss of function in the brain as aresult of a disrupted blood supply Hemorrhagic stroke Correct Answer: occurs when a blood vessel in the brain leaks or ruptures; also known as a bleed Stroke risk factors Correct Answer: Advanced age older than 55 years Gender male Race african american Hypertension atrial fibrillation Hyperlipidemia Obesity Smoking diabetes Stroke symptoms Correct Answer: -balance -eyes -face -arms -speech expressive aphasia Correct Answer: The inability to produce language ( despite being able to understand language) receptive aphasia Correct Answer: inability to understand spoken or written words stroke treatment Correct Answer: - recombination tissue plasminogen activator management of ICP -endotracheal tube -hemodynamic monitoring -neurological assessment -carotid endarterectomy -Hemicaraniectomy Intracranial Pressure (ICP) Correct Answer: Pressure created by the cerebrospinal fluid and brain tissue/blood within the skul normal ICP Correct Answer: 5-15 mmHg Brain herniation Correct Answer: caused by increased ICP: brain tissue shifts and herniates downward, potentially life threatening ICP signs Correct Answer: Mental status changes Unconscious Seizures Headache Eesis Hemiplegia Hemiplegia Correct Answer: is a condition caused by brain damage or spinal cord injury that leads to paralysis on one side of the body. Cushing's triad consists of: Correct Answer: Increased systolic BP, decreased heart rate, and abnormal respirations. late signs of herniation in the brain Correct Answer: Widening pulse pressure, decreased heart rate and abnormal breathing ICP management Correct Answer: - raise head to 30° - for rapid (but unsustained) effect: *hyperventilation*, *mannitol* IV - *furosemide*, steroids (much less often Barbiturates) - surgical intervention Glascow Coma Scale (GCS) Correct Answer: Neurologic assessment of a patient's best verbal response, eye opening, and motor function. Glasgow Coma Scale (GCS) score range Correct Answer: 3 to 15 (3 bad 15 good ) on the glasgow coma scale what number is a indication of severe neurological damage Correct Answer: 7 GCs is cheked how many times a hour Correct Answer: 4 GCS scale Correct Answer: Eyes, Motor, Speech. EYES (4): GCS for eyes? Correct Answer: 4-spontaneously, 3 - verbal command, 2 - to pain, 1 -no response GCS for Verbal Response Correct Answer: Oriented - 5 point Confused - 4 point Inappropriate words - 3 points Incomprehensible sounds - 2 points No response - 1 point GCS motor response Correct Answer: 1 - No movements 2 - Extension to pain (extensor posturing, decerebrate response) 3 - Abnormal flexion to pain (flexor posturing, decorticate response) 4 - Flexion/withdrawl to pain 5 - Localizes to pain (purposeful movements toward pain stimuli) 6 - Obeys commands COPD Correct Answer: chronic obstructive pulmonary disease COPD risk factors Correct Answer: Cigarette smoking Occupational chemicals & dust Air pollution Infection Genetics Aging COPD Host Factors Correct Answer: Genetic abnormalities, including a deficiency of alpha1-antitrypsin, an enzyme inhibitor that normally counteracts the destruction of lung tissue by certain other enzymes COPD primary symptoms Correct Answer: Chronic cough Sputum production dyspnea Weight loss Respiratory insufficiency Barrel chest COPD assessment findings Correct Answer: spirometry COPD complications Correct Answer: Respiratory insufficiency Failure to thrive Bronchospasm Pneumonia COPD medical management Correct Answer: - relieve hypodermia - improve quality of life - treat obstructed airway (bronchodilators/ PRN suction) - slow progression of disease COPD drugs Correct Answer: Cortercosteroids alpha 1- antirypsin augmentation therapy Antibiotic agents Mucolytice agents Antitussive agents Vasodilators [Show More]

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