314 Exam 2

Question 1

A stroke that occurs from a clot occluding large cerebral vessels that originated from the brain. Usually affects one region and has a rapid onset with slow progression would be what category of stroke?

Answer 1

Thrombotic ischemic stroke

Question 2

A stroke that occurs from an embolism that occludes a cerebral blood vessel, originating from the body that traveled to the brain which has a sudden onset and immediate deficits would be what category of stroke

Answer 2

Embolic ischemic stroke

Question 3

A stroke that has neurological deficits lasting less than 15 minutes would be what kind of stroke

Answer 3

TIA
Transient ischemic attack
Admit for observation- high likelihood of developing ischemic stroke

Question 4

What are some causes of hemorrhagic stroke

Answer 4

Persistent high BP
Ruptured aneurysm

Question 5

If a client presents with symptoms of a stroke what diagnostics would be expected and why

Answer 5

Ct scan- rules out hemorrhagic stroke
NIH stroke scale
Neuro exam
Priority assessments- airways, time of onset
Capillary blood glucose-

Question 6

TPA (alteplase) is what kind of drug used for what

Answer 6

Fibrinolytic= clot buster
Used for stroke therapy

Question 7

If you give tPA what nursing actions are needed

Answer 7

1:1 client monitoring
At least 15 minutes x 2 hrs.
Monitor for signs of hemorrhage

Question 8

What disease is the only one that will increase blood creatinine levels

Answer 8

Kidney disease

Question 9

When both liver and kidney failure occur, what results would be expected from the BUN diagnostics?
What about with just kidney disease.

Answer 9

The BUN would be decreased with both. Increased with kidney disease.

Question 10

A creatinine clearance measure what and what is the process

Answer 10

24 hr urine collection. Measures the GFR for patients with impaired kidney function

Question 11

Contrast media in a voiding cystourethrigram (VCUG) is not nephrotoxic why?

Answer 11

It does not reach the bloodstream or kidney. Just into bladder

Question 12

Priority intervention for urinary calculi with right flank pain

Answer 12

Relieve pain

Question 13

What is the least invasive procedure for kidney stones

Answer 13

Shock wave lithotripsy

Question 14

After the shock wave lithotripsy what is normal and not normal findings

Answer 14

Normal - blood in urine for 24 hrs
Normal- bruising and pain
Normal- stone fragments inside urine
Not normal- fever or chills

Question 15

Nephrolithotripsy or nephrolithotomy is what

Answer 15

Needle and scope into renal pelvis to break up sucks out kidney stones.

Question 16

After a percutaneous nephrolithotripsy what is the key priority

Answer 16

Maintain latency of tube with irrigation of the nephrostomy tube with sterile normal saline

Question 17

What stage of sleep do older adults spend more time in

Answer 17

Stage 2 deeper sleep

Question 18

Which stage of sleep declines with aging and is where the immune system strengthens and muscle tissues and bones regenerate

Answer 18

Stage 3

Question 19

What stage of sleep is dreaming in

Answer 19

Stage 4