Download NURS 620 Exam 1: Neurological Disorders and Eye Conditions - Questions and Answers and more Exams Nursing in PDF only on Docsity!
MARYVILLE NURS 620 EXAM 1
QUESTIONS WITH CORRECT
ANSWERS.
Four types of headaches - ANSWER- Traction (tension), Vascular (migraine), cluster, mixed (vascular and tension), Inflammatory How do you treat migraines? - ANSWER- 1. Avoid triggers
- Use biofeedback
- Use abortive therapy... medications
- Preventative medications What are some of the ABORTIVE migraine medications? - ANSWER- 'Triptans' Trip the switch to abort the headache Almotriptan (Exert) Eletriptan (Relpax) Frovatriptan (Frova Sumatriptan (Imitrex) Zolmatriptan (Zomig) PREVENTATIVE/PROPHYLACTIC migraine medicines - ANSWER- Beta-blockers "olol" Propranolol Metoprolol Timolol Atenolol Dizziness is a - ANSWER- sensation of unsteadiness, or feeling of movement inside of the head Vertigo is - ANSWER- Sensation of the room spinning and obects moving around the head Differential Diagnosis for dizziness would be - ANSWER- 1. Anxiety
- CNS disorders
- Systemic disorders
- Peripheral vestibular disease Differential diagnosis for dizziness and vertigo - ANSWER- Peripheral Vestibular Disease, systemic disorder, central nervous system disorder
Peripheral Vestibular Disease is - ANSWER- There is a problem located in the labyrinth of the middle ear. Signs and symptoms include dizziness, N/V, diaphoresis, trouble balancing, vertigo, tinnitus, pressure in the ear, intermittent hearing loss, diplopia. Medications prescribed for vertigo? - ANSWER- Meclizine Phenergan. Take these medications for a week, then taper slowly. Diamox can also be used to decrease edema in the labyrinth. Antiemetics (Compazine and Tigan) If the patient has systemic disorders, the following symptoms will occur - ANSWER- Lightheadedness, pallor, dyspnea, tachycardia, bounding pulse, weakness,hypotension, blurred vision, headache, diaphoresis. PARESIS IS - ANSWER- WEAKNESS Paresthesia is - ANSWER- numbness/tingling, cramping, pain without stimulus that is felt along the nerve pathway The most common diagnosis associated with paresthesia is - ANSWER- araterial occlusion, arteriosclerosis, nerve entrapment, neuropathy, TIA, Herpes Zoster Arterial occlusion is a medical emergency and usually requires intervention within - ANSWER- 4 - 6 hours Nerve entrapment usually is caused by - ANSWER- Edema, RA, infection, prolonged standing or sitting, tight clothing Neuropathy is usually caused by - ANSWER- MS, DM neuropathy, collagen disease, renal failure, thyroid disease, toxins, nutritional deficiency Simple partial seizure is explained as - ANSWER- No loss of consciousness, and usually unilateral hemisphere Complex partial seizure is explained as - ANSWER- Consciousness is impaired, usually bilateral hemisphere Absense seizure - ANSWER- Sudden onset of interruption of activities, such as a sudden blank stare, brief rotation of the eyes upward, stop eating while food is on the way to the mouth. Usually lasts a few seconds to 30 seconds. Tonic-clonic seizure - ANSWER- Most frequent generalized seizure. Patient falls to the ground in a tonic state. Rigidity with respiratory inhiition, cyanosis, may bite their tongue or become incontinent with confustion or combativeness after Myclonic jerks - ANSWER- Brief shock-like contractions, to the face, trunk, or extremities. Mostly during sleep
Chalazion is a ______________________________ infection of the _________________ gland presenting in the form of a _______________________swelling of the eyelid. It is usually associated with _____________________________ - ANSWER- granulomatous meibomian painless blepharitis Diagnostic tests for Conjunctivitis - ANSWER- 1. Visual acuity
- Fluoresceine exam to r/o corneal involvement Bacterial Conjunctivitis treatment - ANSWER- "Try to C" (try to help them see) Trimethoprim/Polymyxin Tobramycin 0.3% Ciprofloxacin 0.3% Viral Conjunctivitis you will see - ANSWER- Watery discharge Gritty sensation Little discomfort Unilateral first, then bilateral pre-auricular lymphadenopathy Viral Conjunctivitis treatment - ANSWER- Lubricant drops Cool Compress Antihistamines Allergic Conjunctivitis you will see - ANSWER- Bilateral redness Watery or stringy discharge Itching Crusty in the morning Allergy symptoms Treatment of Allergic conjunctivitis - ANSWER- Cold compress lubricants topical antihistamines decongestants systemic antihistamines Treatment for Hordeolum and Blepharitis - ANSWER- Topical Bacitracin or Erythromycin Treatment for Gonococcal conjunctivitis - ANSWER- Ceftriaxone 250 mg IM Treatment for Chlamydial conjunctivitis - ANSWER- Erythromycin opthalmic ointment Oral tetracycline, doxycycline Oral Erythromycin, clarithromycin, azithromycin,
