NeuroandA/V

Question 1

Strategies to stimulate to void

Stroking
Pulling on the
Pouring warm water
Tapping bladder

Answer 1

Stroking the inner thigh
Pulling the clients pubic hair
Pouring warm water over clients perineum
Tapping the bladder to stimulate the detrusor muscle

Question 2

Teaching plans for migraine headaches

Foods with tyramine
Drugs such as nifedipine and nitroglycerin
Abortive therapy
Rebound headache
Complementary therapies 
estrogen therapy

Answer 2

Avoid foods with tyramine, such as alcohol and aged cheese
Avoid nifedipine and nitroglycerin drugs
Abortive therapy is aimed at eliminating the pain during the aura
Rebound headache which is a potential side effect of medications
Therapies such as biofeedbakc and relaxation may help
Should be stopped because it can trigger attacks

Question 3

Angle-closure glaucoma treatment:

Miotics
Hyperosmotic agents
Cool compress
Dark quiet place

How about mydriatic agents?
How about atropine?

Answer 3

Which opens up trabecular network and facilitate aqeous flow
To move fluid from intracellular to extracellular
Cool compress and providing dark and quiet place

Contraindicated because dilation of pupil will further block the outflow
It should also not be used because it also causes dilation which impedes outflow of aqueous humor and increases intraocular pressure

Question 4

Spinal nerves C3 to C5 innervate the phrenic nerve which controls the?

Answer 4

Diaphragm. Monitor for RR

Question 5

Monitoring , observing and setting up equipment for oxygen and suctioning are within scope of

How about giving meds, reviewing and demonstrating standard procedures with noncomplex cases?

Answer 5

LPN/LVN

Still with LPN/LVN

Question 6

A serious adverse effect of Phenytoin is

Answer 6

Leukopenia

Question 7

Eyedrop administration

Client sit down head tilt backward

Gently pull tissues underneath eyes

Hold dropper and stabilize hand on clients forehead

Have client look up and instill eyedrops

Have client close eyes and move it around

Gently press on lacrimal duct for 1 minute

Answer 7

Correct order

Question 8

Should epilepsy clients avoid alcohol?

How about taking over the counter meds?

Answer 8

Yes!!

No.they should consult the healthcare provider first

Question 9

Sumatriptan is contraindicated to

Answer 9

Heart and heart related diseases like HPN and peripheral vascular diseases

Question 10

Primary open-angle glaucoma

Develops slowly

Early signs

Late signs

Answer 10

And irreversible damage to the optic nerve can occur before any signs or symptoms are manifested

Mild eye aching or headaches

Loss of peripheral vision, seeing halos and loss of central vision are late signs

Question 11

All beta adrenergic blockers are contraindicated in

Alpha-adrenergic agents can cause

Carbonic anhydrase inhibitors should not be given to clients with

Answer 11

Bradycardia

Tachycardia and hypertension

Rheumatoid arthritis who are taking HIGH DOSES of ASPIRIN

Question 12

Right cerebral hemisphere stroke

They lean to the

Neglect syndrome

Answer 12

Left, and they believe they are sitting up straight

They often neglect the left side of their bodies and ignore food on the left side of their food trays

Question 13

Bacterial meningitis is a medical emergency so give

Answer 13

Give antibiotics after specimen are collected even if diagnosis is not confirmed

Question 14

Gentamycin, ethacrynic acid,furosemid and aspirin are

Answer 14

Ototoxic drugs

Question 15

Earl symptom of AD (alzheimer disease)

Answer 15

Short term memory impairment

Question 16

Hordeopum or stye is

Warm compress
Eyelid scrubs
Antibiotic

Answer 16

An inflammation of the eyelid with pus

Warm compress is done to provide relief, this is usually the first thing to do
Eyelid scrubs musybe gentle and hygienic
Antibiotic ointments can be used

Question 17

Vertigo withoit hearing loss should be further assessed

Answer 17

For nonvestibular causes like cardiovascular or metabolic

Question 18

How to decrease systemic absorption in eyedrops?

Answer 18

Punctal occlusion or putting pressure on lacrimal ducts

Question 19

Ear discomfort preceded by a viral infection;tympanic membrane is erythematous

Rapid onset of ear pain with pruritus and a sensation of fullness that started after cleaing ear canal with finger

Answer 19

Acute otitis media which is treated with antibiotics or tympanostomy tubes

Swimmers ear; responds to antibiotic and eardrop infections

Question 20

Stapedectomy is

After procedure:
Heavylifting
Water and air travel
Cough with mouth open

Answer 20

Surgery in the middle ear to improve hearing

Heavy lifting is strictly avoided for at least 3 weeks
Water in ear and air travel should be avoided for 1 week
Cough with mouth open to prevent increased pressure

Question 21

Ear canal irrigation is avoided in

Perforated
Foreign body
Otitis

Answer 21

Ear drums
Foreign body is stuck inside the ear
In otitis media

Question 22

Meclizine is prescribed for

Answer 22

Vertigo and Motion sickness

Question 23

Ranibizumab is an angiogenesis inhibitor that is directly injected into the vitreous humor of the eye

Purpose is to inhibit growth of

Adverse effect is ENDOPHTHALMITIS

Answer 23

New blood vessels in clients who have neovascular age-related macular degeneration

Can be caused by bacteria,virus or fungal, redness light sensitivity and or pain are the Signs and symptoms

Question 24

Acute angle closure glaucoma is a
-cant drain

Open angle glaucoma

Answer 24

Medical emergency. The fluid cant be drained,it is closed. Pressure builds up in the eyes.

Fluid accumulates but some fluids are still drained.

Question 25

Glaucoma patho

Answer 25

Increased in aqueous humor thus increased pressure in the eye which damages the optic nerve