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Med Surg Quiz#2 Part2 > Term 3 > Flashcards

Term 3 Flashcards

0
Q

What does a tension headache involve ?

A

Muscles

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1
Q

What does a migrane headache involve ?

A

Blood vessels

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2
Q

What are patients with tension headache asked to do by the doctors ?

A

Keep a headache diary

Relaxation techniques

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3
Q

What is a spinal shock ?

A

Flaccid paralysis & lack of sensation

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4
Q

What is the cause of autonomic dysreflexia ?

A

Distended bladder
Bladder infection
Impactions

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5
Q

What are the key signs and symptoms of dysreflexia ?

A 
Blurred vision 
Goose bumps 
Nasal stiffness  
Severe headache 
Severe hypertension
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6
Q

What is paraplegia ?

A

Paralysis of 2 or half the extremities /lower extremities

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7
Q

What is quadriplegia ?

A

Paralysis of all 4 extremities

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8
Q

What is the care for patients with halo/ tong traction ? (Skeletal traction )

A

Clean the pins with Benadine or hydrogen peroxide

- do not adjust

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9
Q

If a patient can move their head in a traction , what needs to be done ?

A

It needs to be adjusted

Neck and head should be held rigid

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10
Q

When a patient have cervical injury of the spine , what is their a risk for ?

A

Respiratory arrest

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11
Q

When a patient is having pain , that has a halo traction , what is done ?

A

Doc orders analgesic
Goes away within a couple day
Temporary

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12
Q

When a patient has cervical injury c1-c7 what are the concerns ?

A

Respiratory failure

Temporary support ventilator may be needed (breathing machine )

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13
Q

What kind of place do patients with migrane headache need to be in ?

A

A dark quite cool warm room

Be lefted alone

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14
Q

What do you what to do for a patient that has spinal injury , where in jury is suspected ?

A
  • Immobilize the victim avoid turning -avoid turning the patient head
  • wait for professional help
  • avoid flexion or rotation of the spinal cord
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15
Q

What is the care for a seizure patient during seizure activity ?

A
  • Turn the patient to the side
  • stay with the patient
  • side rails up if in bed
  • Observe the patient/ how long it last
  • pillow or blanket on head
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16
Q

What sound do you listen for when a patient is having a seizure ?

A

Crowing or gruggling noise

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17
Q

What is the post-ictal period ? (After care )

A 
Incontinent 
No driving 
Confused 
Sleepy 
Don't know what happen
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18
Q

After seizure what position do you want to keep the patient incase of another seizure ?

A

Sitting or lying

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19
Q

What is a aura ?

A 
A precursor for seizure activity 
Flashing light 
Taste (metallic  ) 
Sounds 
Smell
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20
Q

When a patient has spinal injury , the higher it is, what do you need to watch for ?

A

Crackles in the lung

Difficulty breathing

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21
Q

What does crackles in the lung and difficulty breathing indicate for a patient with spinal injury ?

A

Increase peristalsis

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22
Q

What is receptive aphasia ?

A
  • Difficulty understanding what’s being said to you
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23
Q

What is expressive aphasia ?

A

Not able to express themselves by reading or speaking

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24
What is homonymous hemianopsia ?
Pieces of lost visual field | Pt is thought to scan the vision (turn head to get a full view )
25
If your feeding a patient with dysphasia (difficulty swallowing ) what position do you want them in ?
45 degree
26
What position should the patient be in with dysphasia after eating and for how long ?
45 degree angle | For 1hr to prevent aspiration
27
If a client has spinal cord injury & complains of severe headache maybe experiencing ?
Autonomic dysreflexia
28
What are the late signs of ICP ?
Elevated temp Elevated b/p Decrease pulse Decrease respiration
29
Why is their a elevated temp with ICP ?
Because when ICP occur it's pushes down on the hypothalamus & medulla oblongata
30
What does the medulla oblongata do?
Regular v/s
31
What does the hypothalamus do ?
Regular body temp
32
What is normal on the gaslow coma scale ?
15 normal | 3 worst
33
What clients are at risk for ICP ?
Patient that had brain surgery Brain tumor High tempreature & headache
34
What are signs of meningitis & ensephalitis ?
Headache & high temp
35
What are signs of decrease LOC ?
Confused Slurred speech Restlessness Not able to describe who they are , where they are , why you are where you are
36
What is epidural hematoma ? (Red)
- Arterial - the talk and drop; person gets a head injury, loss of consciousness, recovers, seems with it entirely and then suddenly goes bad real fast
37
What can leakage of fluid from the nose or ear indicate ?
ICP & internal damage
38
What is multiple sclerosis ?
-A chronic, progressive disease of the brain and spinal cord
39
What is parkinson ?
Chronic degenerative
40
What are the key signs of Parkinson's disease ?
``` Shuffling gate Tremors Pill rolling Muscle rigidity Lost of balance ( risk for falls ```
41
What trigger trigeminal neuralgia ? (Sensory )
Extremes of hot and cold
42
What kind of food do patients with trigeminal neuralgia should have ?
Room temp food & liquid room temp
43
What kind of water do the for facial and mouth was should the trigeminal patient use ?
Room temp Luke warm room temp mouth wash Toothets Liquid diet or soft food
44
What is Bell's palsy ? (Motor )
Resembles a stroke Half of the face is droop Client had dry eyes
45
What do you give a patient with Bell's palsy for dry eyes ?
Artificial tears | Eye drop
46
When a patient has meningitis what kind of meds do given ?
Antibiotics
47
Where do patients with meningitis need to be placed ?
Isolation for 24hrs
48
What side do a patient with Bell's palsy eat on ?
Chew on the unaffected side
49
What are some intervention for patients on Bell's palsy ?
Dark glasses Soft diet Alternate communication
50
What is the cause of Parkinson's disease ?
Insufficient dopamine
51
What is the first sign of Parkinson's disease ?
Tremors (occur at rest )
52
How is Parkinson's decreased ?
By purposeful movement | Holding on to something tight
53
What is Alzheimer's disease ?
- Microscopic brain changes | - Start to loose pieces of the brain
54
What are plaques and tangles of Alzheimer's disease ?
Proteins Plaques - build up between neuron Tangles - forms within neurons
55
What nerve does Bell's palsy affect ? O
7th cranial nerve ( motor ) | -loss of ability to move muscle on one side of the face
56
What nerve does trigeminal neuralgia affect ?
5th cranial nerve (sensory ) | Cause disability or recurring attack on the nerve
57
How do patients with multiple sclerosis feel and what do they develop on their body ?
Small patches of demyelination | Result in muscle weakness
58
What kind of activities do patients with MS has to do ?
Activity with rest periods
59
Patients with multiple sclerosis has to avoid what ?
Extreme temp
60
How do patients with Parkinson's disease walk ?
• patient has a bent position and walks in short, shuffling gait steps
61
What kind of nutrition you want to give to Alzheimer's patient
High carbs & protein
62
What kind of food is best to give Alzheimer's patient , because they often forget to eat ?
Give pt. finger foods which are foods that can be eaten holding them and some cases a half of sandwich.
63
What are other signs an symptoms of meningitis ?
High fever and stiff neck • Patient may experience photophobia (light sensitivity). • Petechiae on the skin and mucous membranes • Nuchal rigidity (pain and stiffness when the neck is moved) is caused by spasm of the extensor muscles of the neck
64
What is Subdural hematoma ? venous (slow formation
can be just as bad, it’s very insipidus, creeps up on you, pts who have had suspected subdural hematomas or any type of head injuries, the pt teaching involves telling the family to make sure they don’t leave pt. alone to fall asleep,

Med Surg Quiz#2 Part2 (1 decks)

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