Spinal Cord Injury/Head trauma
Immediate complications of SCI
Respiratory arrest and spinal shock
Lymphedema treatment
What is elevation?
Acute, recovery, and chronic
Phases of neuro deficits?
Warning sign for a CVA
What is a TIA
Emergent complication of a diagnosed cerebral aneurysm
What is a severe headache?
Uncontrolled abnormal cell growth that can invade surrounding tissue and spread to other areas.
What is Cancer?
Name four surgical risk factors.
What is Age, obesity, poor nutrition, smoking, chronic illness, infection, dehydration, or medication use?
What do these put the patient at risk of?
What medications would be of concern?
Assessment to grade the level of SCI
What is a Neurologic exam?
Reed Sternberg cells
What is Hodgkin lymphoma?
Rapidly changing GCS & cushings triad
What is increased intracranial pressure? How do you know it is increasing? what vital signs?
Prolonged blood flow interruption to the brain
Stroke (CVA)
conitive screening used to assess the persons overall cognitive function.
What is MMSE (Mini mental State Examination)
A nurse educator is teaching a community group about cancer. Which signs and symptoms should the nurse include in the teaching?
What is CAUTION?
_____ is
Required for invasive procedures that require anesthesia and risks of complications
Criteria for valid informed consent: voluntary, incompetent client
Minor clients: signed by parent or guardian
Must sign before receiving preoperative sedatives, adult witness
Nurse is responsible to have signed consent on client’s chart
What is a surgical consent?
Diagnostic test revealing CSF pressure
What is a lumbar puncture?
Red sreaks and swollen lymph nodes
What is Lymphangitis?
Therapy that assists pt with voluntary movements
What is occupational therapy (OT)
Treatment for Ischemic CVA within three hours of symptoms
What is tPA?
Blurred vision, diplopia, nystagmus, weakness, clumsiness, and numbness and tingling of an arm or a leg; an intention tremor and slurred, hesitant speech (scanning speech); mood swings
What is Multiple Sclerosis?
Name three common side effects of chemotherapy.
What is Nausea/vomiting, hair loss, fatigue, immunosuppression, anemia, or mucositis.
There are three types:
General: loss of sensation, reflexes, and consciousness; four stages; endotracheal tube
Regional: loss of sensation and decreased mobility to specific anesthetized area; risk for injury and burns
Procedural sedation: conscious sedation; side effects: respiratory depression; antagonists
What is Anesthesia?
What would your nursing interventions be for each?
Immediate loss of all cord functions below the point of injury including bladder function and poikilothermia
What is spinal shock?
Low Hemoglobin and hematocrit
What is blood loss, Abnormal erythrocyte production, and Destruction of normally formed red blood cells
paralysis, muscle weakness, impaired speech, inability to recognize objects, abnormal gait or difficulty walking, impaired memory, impaired swallowing, or abnormal bowel and bladder elimination.
What is a neurological deficit? You should know nursing interventions for these. for example bowel training program for incontinence, stool softener. dysphagia?
Numbness or weakness of one side of the face, arm, or leg; mental confusion; difficulty speaking or understanding; visual disturbances impaired walking or coordination; severe headache
What is a CVA?
CSF color
What is clear and colorless
_____ describes the size of the tumor and how far the cancer has spread throughout the body. The most common system used is the TNM system and ______ describes how abnormal the cancer cells look under a microscope and how quickly they are likely to grow and spread.
What is staging and grading of a tumor?
atelectasis, hemorrhage, DVT, Urine retention, Wound dehiscence
What are postop complications?
What are your interventions for each complication?
The pt has a head injury that is significant for edema on one side of the brain and bleeding on the other side of the brain
What is a contrecoup injury?
Define Anemias
What is aplastic anemia, hypovolemia anemia,hemolytic anemia, pernicious anemia, polycythema vera, and agranulocytosis. You should know the difference between these.
Difficulty swallowing, HOB is elevated, and frequent rest periods between meals and liquids
What is dysphagia?
TIA with carotid bruit should be treated with what surgical procedure
What is an Endartectomy? What was this surgery? What is your main concern?
Ascending paralysis
What is Guillain-Barré syndrome? What is your main nursing concern?
______ uses an open-ended statement that encourages the client to express feelings and concerns. It promotes trust, emotional support, and effective therapeutic communication.
What is therapeutic communication?