Let's Go Baby!
An acceleration-deceleration injury in the head, describe what happens to the head
What is coup-contrecoup injury
When the head is moving rapidly and hits a stationary object. The contents within the cranium
hit the inside of the coup (skull) and then bounce back hitting the opposite side (bone) causing a
contrecoup
When teaching cane safety, which side should you instruct the patient to hold the cane?
What is the good side. The cane is advanced at the same time as the affected leg.
What are the 4 interventions for a sprained ankle
What is rest, ice, compression and elevation
Define crepitation? What condition would you expect this symptom?
What is a grating sound. Knee replacement
List 5 ways to de-escalate a patient without restraints
What is : take a walk, reading, coloring, offer toileting, offer food and drink, try to
establish a routine, clocks and calenders, re-orienting techniques. Try to listen and find
out what is wrong
What is one of the most important tools used for monitoring a head injury patient
What is GCS
Most common complication of hip and knee replacement
What is DVT
Name some non medication interventions for MS
What is an exercise program to relieve spasms and improve coordination? Helps keep them
positive and active. Swimming is good because it causes fewer symptoms of fatigue.
Positive clinical sign that shows CSF leak
What is Halo Sign
80 % of amputation are the lower extremities. List common causes for lower extremity
amputations
What is peripheral vascular disease with DM, severe trauma, malignancy, or military injury
and congenital defects
Five stages of grief or mourning
What is Shock and denial, anger, bargaining, depression and adjustment
Two neurotransmitters responsible for muscle tone and involuntary movements in the body
What is dopamine and acetylcholine
Signs and symptoms of concussion
What is headache or pressure in the head, balance issues, dizziness, nausea or vomiting,
feeling sluggish, hazy, foggy, groggy, "not right".
What is lift the good leg onto the first step. Put weight on the good leg and then lift the
injured leg
Post op nursing interventions for a patient with a Lumbar Puncture
What is have patient lay in bed flat for 1 hr or longer to reduce headache. Encourage fluids
unless contraindicated. Observe site for drainage.
How do diuretics decrease ICP
What is diuretics that decrease vascular volume and intracranial volume = decrease ICP
Mannitol
Explain why an increase in ICP can cause respiratory depression
What is increased ICP causes depression of the respiratory system from the pressure on the
medulla oblongata (brain stem) - vasodilation and carbon dioxide accumulation
In this form of traumatic brain injury, a patient may show nuchal rigidity
What is subarachnoid hemorrhage
Early signs of increasing intracranial pressure
What is lethargy and decreasing consciousness, a slowing speech and delay in verbal cues
True or False: Are opioids an appropriate first-line treatment for RA?
What is false
Explain what happens to the myelin and axons in Multiple Sclerosis
What is the myelin is a protective layer that protects the axons. Axons transmits the
electrical impulses from neuron to neuron. When demylenation happens, plague and scar
tissue block the nerve transmission . A result is the nerves do not perform in a well
coordinated and useful manner.
What is most important for a possible spinal cord injury patient when treating him at the
scene of a MVA?
What is avoid flexion of the neck, no pillow or other kind of support in placed under the
head. Do not move the patient unless life-threatening conditions require it.
Give 3 differences for Osteoarthritis and Rheumatoid Arthritis
What is: RA = systemic, chronic inflammation, autoantibodies present, joint involvement
usually symmetric bilaterally, morning stiffness with pain on motion
OA= progressive, microscopic inflammation, no autoantibodies, single sided joint
involvement, stiffness relieved by motion
Special precautions for a patient with a possible CSF leak
What is keep on bed rest, HOB 20-30 degrees, place sterile gauze pad under ear or nose,
Instruct patient to not blow nose, cough or sneeze
Manage bowels to prevent strain
Classic signs of increased ICP known as Cushing Triad
Rising BP Systolic
Widening pulse pressure
Brady but full pounding pulse
Rapid or irregular respirations