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MDC 4 Final Exam 3 Flashcards | StudBud
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MDC 4 Final Exam 3
MDC 4 Final Exam 3
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1
Heparin monitor aPTT/platelets?
True
False
2
Tx for Bell’s Palsey is PT to stimulate the facial nerve?
False
True
3
Deep full thickness (4th degree) damage to muscle, tendon, bone?
False
True
4
Stages of shock include? SATA
Progressive (MAP >20) hypoxia to vital organs
Initial (MAP 5-10) increased HR/RR
Nonprogressive (MAP 10-15) tachy, decreased uo/bp
Refractory (severe hypoxia, MODS)
5
Specific lab for PE is the D-Dimer?
False
True
6
Myasthenia Gravis is an autoimmune disorder characterized by?
Idopathic pain
Weakness that improves w/ rest
Muscle rigidity
Ascending weakness
7
Bell’s Palsey also called facial paralysis?
False
True
8
Levadopa used to treat Parkinson’s releases dopamine?
False
True
9
Vasopressors used to treat Shock include norepinephrine and dobutamine?
False
True
10
What position should you place a client in who is having a seizure?
High-Fowlers
Fowlers
Supine
Side lying
11
Distributive Shock includes Neurogenic, Septic, and Anaphylactic Shock?
False
True
12
CO2 poisoning pt will appear cherry red, nauseous, and confused?
True
False
13
Parkland’s Formula?
4 x kg x TBSA
3 x lb x TBSA
5 x kg x TBSA
4 x lb x TBSA
14
Tx for strokes includes TPA called Alteplase?
True
False
15
RLS can be caused by peripheral/central nerve damage?
False
True
16
Tx for Guillian-Barre Syndrome includes plasmapheresis and IV immunoglobulins?
False
True
17
Caring for pt w/ SCI wearing a halo vest the nurse should report what to provider?
Painful pressure under the collar
02 sat of 95% on Room Air
Purulent drainage from pin sites
Inability to move legs or feet
18
Malignant Hyperthermia is a genetic hyperactive response to anesthesia?
True
False
19
What color would you triage to someone “walking wounded” with minor injury?
Black
Yellow
Green
Red
20
Medications to treat migraines
Tylenol, Opioids, vasodilators
Nitro
Ergotamine, triptans, ditans, NSAIDS
Aspirin
21
Nursing priorities for pt w/ TBI include? SATA
Monitoring s/s of Autonomic Dysreflexia (bowel/bladder)
HOB neutral/midline
Stool softeners
Reducing stimuli
22
Cause of high pressure alarm sounding?
Air leak
Secretions, pt coughs or gags
Malfunction
Disconnected tubing
23
Guillian-Barre Syndrome is triggered by recent infection/illness?
False
True
24
TPA is only given for hemorrhagic strokes?
False
True
25
Earliest vs change w/ burns and shock is increase in HR?
True
False
26
The higher the number on the Glasgow Coma Scale the better?
True
False
27
Signs of Moderate stage Alzheimer’s disease? SATA
Wandering
Anger
Difficulty handling money/finances
Visuospatial deficits
28
Cardinal Signs of Parkinson’s Disease include? SATA
Postural instability
Bradykinesia
Tremor
Muscle Rigidity
29
Trigeminal Neuralgia may be caused by trauma or infection to teeth/jaw?
False
True
30
Ways to help prevent VAP?
Prone positioning
Oxygen
Stool softeners
HOB 30, mouth cares q.2hr, hand washing, suctioning, DVT/Ulcer prevention
31
Type of seizure that involves loss of consciousness and violent muscle contractions?
Petite
Myoclonic
Tonic-Clonic
Absent
32
DIC is an abnormal clotting of blood throughout the body?
True
False
33
Postical phase begins at end of seizure can last 5-30 minutes?
False
True
34
Electrolyte imbalance w/ burns is hyperkalemia and hyponatremia?
True
False
35
Cardiogenic Shock is often caused by an MI or cardiac arrest?
True
False
36
Flail chest - paradoxical movement
False
True
37
First sign of increased ICP is headache and changes in LOC?
True
False
38
Warfarin monitor INR/pT?
True
False
39
Mannitol is a Rx used to decrease ICP?
False
True
40
S/s of Malignant Hyperthermia include high fever, muscle rigidity, tachycardia?
False
True
41
Viral-like symptoms of GBS start 1-3 weeks prior to GBS symptoms?
False
True
42
Neurogenic Shock is the only shock that presents with bradycardia?
False
True
43
Priority for acute phase of shock includes airway/cardiovascular management?
False
True
44
Phenelzine is an MAOI used to treat Parkinson’s along with Levadopa/Carbidopa?
False
True
45
Cause of low pressure alarms sounding? Pt stops breathing or there is an air leak.
True
False
46
MS is an autoimmune disorder caused by damage to the nerve/spinal cord?
False
True
47
Treatment for ARDS includes? SATA
Tube feeding
Oxygen
PEEP
Mechanical Ventilation
48
ARDS is when the alveoli air sacs in the lungs fill up with fluid?
True
False
49
Cushing’s Triad presents with systolic HTN, bradycardia, and irregular respirations?
False
True
50
A client w/ a halo vest can bathe in a tub?
False
True
51
PPI’s are given to prevent stress ulcers ?
True
False
52
Signs of left-sided stroke include? SATA
Math deficits (acalculia)
Language Deficits (aphasia)
Intellect deficits (agraphia)
Right sided weakness
53
A sign of right-sided stroke includes impulsivity?
False
True
54
Signs of a PE include SOB, tachypnea, cough, diaphoresis?
False
True
55
Guillian-Barre Syndrome is characterized by?
Left-sided weakness
Ascending weakness
Muscle Rigidity
Descending weakness
56
Phenytoin is a med used to treat seizures?
True
False
57
Position for hypovolemic Shock is supine with feet elevated?
False
True
58
Signs of Cholinergic Crisis include? SATA
Bradycardia
Bronchospasms
Hypersecretions
Mitosis
59
Normal cranial pressure range is 10-15?
True
False
60
Streptococcu Pneumonia causes bacterial meningitis?
False
True
61
Components of Glasgow Coma Scale include? SATA
Motor Response
Verbal Response
Eye movement
Peripheral Pulses
62
Rx for Trigeminal Neuralgia is Carbamazepine?
False
True
63
What fluid is assessed with glucose in relation to CSF?
Blood
Nasal drainage
Urine
Sweat
64
Tx for tension pneumothorax includes thoracostomy and chest tube insertion?
True
False
65
Sign of MG includes eye not fully closing, fatigue, ptosis, loss of b/b?
True
False
66
Priority intervention for resuscitative phase of shock includes fluids?
False
True
67
What vs do you monitor with TPA?
Respirations
Heart rate
Blood pressure
Temperature