Adults

Question 1

Wernicke encephalophathy

Answer 1

A serious condition from alcohol abuse that is related to poor thiamine absorption

Give thiamine

Question 2

Steps for Blood transfusion reaction

Answer 2

Signs of a transfusion reaction include chills, fever, low back pain, flushing, and itching. Nursing interventions include:

1. Stop transfusion immediately and disconnect tubing at the catheter hub.
2. Maintain IV access with normal saline, using new tubing to prevent hypotension and vascular collapse.
3. Notify health care provider (HCP) and blood bank.
4. Monitor vital signs.
5. Recheck labels, numbers, and the client’s blood type.
6. Treat client’s symptoms according to the HCP’s prescription.
7. Collect blood and urine specimens to evaluate for hemolysis.
8. Return blood and tubing set to the blood bank for additional testing.
9. Complete necessary facility paperwork to document the reaction.

Question 3

Thyroidectomy Complication

Answer 3

respiratory distress
-airway swelling from thyroid removal assess for stridor and dyspnea

Question 4

Extrapyramidal Symptoms (EPS)

Answer 4

Restlessness
Stooped posture
shuffling gait
tremors
involuntary movements (Rocking back and forth)
Facial muscle spasms
Drooling

Question 5

Ischemic Stroke

Answer 5

Blockage
blood flow cut off which leads to ischemia

Question 6

Ischemic Stroke Intervention

Answer 6

(TPA) Tissue Plasminogen Activator

Question 7

(TPA) Tissue Plasminogen Activator

Answer 7

Medication for Ischemic stroke
Give within 3-4hrs of stroke symptoms
Contraindicated with cranial hemorrhage or surgery within the last 2 weeks