Spinal Tap
Tetraplegia can result from which spinal cord injury?
What is a C5 spinal cord injury.
What crucial criteria do you need to assess initially to guide treatment for a stroke?
What is an early sign of increased intracranial pressure in an adult patient?
True or False? Stage 5 of CKD requires dialysis.
What is true.
Your patient with renal insufficiency is started on a PO potassium supplement along with PO furosemide for discharge meds. You noted the patient's K+ level as 3.3, Creatinine 2.2 and Na 131. What is your next action?
A patient with a T2 injury suddenly has a severe headache, sweating, flushed skin above the injury and blurry vision. What would you expect the BP and HR to be?
What is hypertensive and bradycardic.
What are the two main types of strokes?
What is ischemic and hemorrhagic
What is the purpose for a ventriculostomy?
What is monitoring and draining cerebrospinal fluid.
What hormone does Angiotensin II stimulate the adrenal cortex to release?
What is Aldosterone
Your patient is presently on an IV Heparin gtt. The doctor orders PO Coumadin and dosage will be adjusted daily until INR is 2.0-2.5. Your INR is 1.4. Would you question this order and why?
No, this is an acceptable order. Heparin acts as a bridge until Coumadin levels are therapeutic.
Why is the assessment of bowel and urinary function important in a spinal cord injury patient?
What is avoiding autonomic dysreflexia triggering.
For dysphagia management, name three interventions prior to oral intake.
Assess swallow, implement thickened liquids, maintain upright positioning during and after meals.
What three signs indicate Cushing's triad in a patient with increased intracranial pressure?
What is hypertension, bradycardia, irregular respirations.
Causes for chronic kidney disease include diabetes, hypertension and ________?
glomerulonephritis
A patient taking an ACE inhibitor is at higher risk for what adverse side effect post TNK?
What is the recommended immediate intervention if a patient is suspected of having autonomic dysreflexia?
What assessment must you do when starting a patient on antiplatelet aggregates?
Monitor for bleeding, petechiae
To assist in controlling increased intracranial pressure, what should the nurse remember to do when positioning the patient in bed?
What is log roll and avoid hip flexion.
What are the dietary restrictions recommended in the care of chronic renal failure? (Name 3)
What is potassium, protein, phosphorus
Why are ACE inhibitors and ARBs preferred medication for hypertension in a patient with CKD?
What is renal and cardio protective properties
What is the primary focus of passive range of motion exercises in physical therapy for rehabilitation?
What is preventing contractures and maintaining joint mobility.
The nursing consideration for Statins is to assess for liver function and monitor for __________?
What is myalgia.
What are the common complications of TBIs? (Name 2)
Brain herniation, decreased cerebral perfusion, neurogenic pulmonary edema, SIADH, DIC, GI Bleed.
Your patient has hypotension during conventional hemodialysis and unable to complete the treatment. What would you anticipate the MD to order as an alternate treatment?
What is CRRT.
What are three medications that protect the bones in CKD?
Calcium, vitamin D, phosphate binders