Burns & Strokes
Describe these 3 types of burns
Superficial burn
Partial thickness burn
Full-thickness burn
SB-involves only epidermis skin is red, dry, and painful
PTB-epidermis & part of dermis, skin red, blistered, moist vey painful
FTB-Destroys entire epidermis & dermis appears dry, leathery, & may be painless
Risk factors for developing a pressure ulcer
urinary incontinence, limited mobility, advanced age, altered mental status
Why does your hair turn gray
Decreased melanocytes
How is corticossteroids applied?
Thin layer & not covered tightly unless DR orders.
What is bradykinesia in Parkinson's disease
Soft, monotone voice is key to bradykinesia
What is intervention for burns over 25% of the body for the first 24 hrs
IV fluids and monitor urine output closely
what is the order of priority for nursing interventions for a cervical spinal cord injury
Maintain cervical spine immobilization
Ensure a patent airway & assess breathing
Establish IV access for fluid & medication administration
Monitor blood pressure & heart rate for signs of neurogenic shock
Perform a focused neurological assessment (motor & sensory function)
Early signs of increased intracranial pressure
Irritability and delayed responses, Change in consciousness of mental status responses
What is the Glasgow coma scale number 7 mean
Fixed & dilated pupils & irregular respirations is a sever neurologic compromise and needs endotracheal intubation
what is the nurses priority post seizure
Turn patient to the side & maintain airway following a seizure
How do you help a patient to find his food tray after left sided ischemic stroke
have the patient turn his head side to side when reading or eating
What nursing action do you do for increased intracranial pressure just noticed such as worsening headache new onset projectile vomiting
Notify the DR immediately
What lifestyle changes help with a TIA
Smoking cessation, healthy diet, regular exercise
What does the CN VII Facial nerve affect and Bell's palsy
controlling the muscles of facial expression, ability to close the eye, move the face
inflammation or compression of facial nerve
what questions is most important for a patient with know seizure disorder being admitted to the hospital
Frequency & duration of seizures
What are the symptoms of a TIA
TIA are a warning sign of an ischemic stroke
What is a good diet for Parkinson's disease
Drink plenty of fluids
lots of fiber
eat slow
What is the most characteristic symptoms of Parkinson’s disease?
Resting tremor & shuffing gait
What nerve is involved in trigeminal neuralgia, which is a chronic pain condition
sudden, sever electric shock-like pain, often triggered by everyday activities, like shaving, eating, or light touch
What are signs of increased intracranial pressure (Cushing's triad)
Hypertension, Bradycardia, irregular respirations
What are Multiple Sclerosis Clinical Manifestations?
Fatigue, diplopia, spasticity, urinary retention/incontinence
why if the type of inheritance pattern does Huntington's Disease follow
Autosomal dominant
What is a nursing priority for Advanced ALSl patient
Monitoring for signs of respiratory distress
What intervention help with trigeminal neuralgia pain
Encourage a soft diet with lukewarm foods
teach patient of avoid touch & drafts to affected side
preform facil hygiene quickly & gently
Administer prescribed anticonvulsants such as carbamazepine
What part of the body does poliomyelitis(polio) mainly affects
central nervous system, particularly the spinal cord