saunders questions week 9-12

Question 1

what are the two priority supplies you need at the bedside for a patient experiencing Guillian-barre syndrome

Answer 1

• intubation tray and Electrodes to monitor heart
  because guillian barre can also cause dysrhythmias

Question 2

what are the nursing things to do in anticipation for a siezure

Answer 2

• provide privacy
  loosen restrictive clothing
  remove follow
  padded side rails on bed
  patent IV

Question 3

what is the frontal lobe responsible for

Answer 3

speech and other frontal lobe things

Question 4

what is the parietal lobe responsible for

Answer 4

sensory perception, spatial perception
(everything except vision and hearing)

Question 5

what is the temporal lobe responsible for

Answer 5

auditory/comprenehsion of speech

Question 6

what is the occipital lobe responsible for

Answer 6

vision

Question 7

what drug doesn’t do well with CT dye

Answer 7

metformin

Question 8

why should you hydrate well after a CT

Answer 8

because CT dye causes diuresis

Question 9

which position should a patient be in during LP

Answer 9

lateral recumbent position with knees up to the chest

Question 10

what does a dilated pupil mean

Answer 10

compressed cranial nerve 3

Question 11

what do pinpoint pupils mean

Answer 11

pons damage and drugs

Question 12

what do bilateral and dilated and fixed pupils mean

Answer 12

very bad

Question 13

what is the brudrinski sign

Answer 13

neck

Question 14

do you clean drainage

Answer 14

no

Question 15

what is an endocrine issue that may be caused by a craniotomy

Answer 15

DI or SIADH pecause they may tinker with posterior pituitary

Question 16

what are some interventions we can do for an aneurism

Answer 16

semi fowlers or side lying down
keep BP LOW
quiet and gentle everything’s

Question 17

what is a compound fraction

Answer 17

an open fraction

Question 18

what is the benefits of external fixation traction

Answer 18

more freedom to move than with traction

Question 19

how long should you keep cast elevated after surgery

Answer 19

24-48 hours

Question 20

what is avascular necrosis

Answer 20

fracture blocks blood supply into section of bone leading to bone death

Question 21

what is the first sign on avascular necrosis

Answer 21

numbness at site

Question 22

when should you elevate the HOB post op for a hip fracture

Answer 22

only for meals

Question 23

what are the main signs of infection under a cast

Answer 23

• odor
• purulent drainage
• presence of a hot spot (some areas are warmer than others)

Question 24

what is the earliest sign of compartment syndrome

Answer 24

numbness and tingling

Question 25

what increase in weight indicates fluid retention

Answer 25

0.5-1 pound per day

Question 26

what is the most common sign of metabolic acidosis

Answer 26

kussmauls

Question 27

what does uraemia cause

Answer 27

decreased LOC

Question 28

why do kidney issues cause metabolic acidosis

Answer 28

because kidneys cannot secrete H+ ions or make bicarb

Question 29

what are the main symptoms of pyelonephritis other than LUTS

Answer 29

flank pain, headache, high wbc in urine

Question 30

what are the main drugs that cause urinary retention

Answer 30

anticholinergics, antihistamines, decongestants, and antidepressants

Question 31

what should you do if a patient is having an air embolis

Answer 31

position on left side
Give oxygen
call a rapid response

Question 32

what is the main hydronephrosis treatment

Answer 32

nephrostomy tube
ureteral stent