Exam 1 Med Surg Galen Questions With Correct Answers

Stroke Symptoms {Ans: Altered LOC, Face, Arm, Speech alterations, gait disturbances}COPD Medical Management {Ans: Supplemental O2 SABA Inhaled anticholinergics LABA Inhaled corticosteroids If hospitalized may need systemic corticosteroids and antibiotics SMOKING CESSATION! This is the #1 therapy. Flu/Pneumonia Vaccine}Tuberculosis Skin test Results {Ans: > 5mm is positive in persons with decreased immunity >10mm is positive in recent immigrants from high prevalence countries, IDU's, live in population within close proximity to people might be infected (homeless shelter, prison), >15mm is positive in any person, even those without risk factors for TB If PPD is positive should have CXR/sputum test}Lumbar Puncture (MS) {Ans: Obtain consent Spinal needle injected into subarachnoid space Position patient in a fetal side-lying position Local anesthetic Three to five tubes CSF collected Post LP: Obtain VS, neuro checks, observe needle site for leakage, bedrest}Multiple Sclerosis {Ans: Autoimmune Life-long inflammatory disease where the axonal part of the nerve impulse undergoes demyelination. Women tend to be more affected.}Nursing Care Stroke: Ischemic Stroke {Ans: May be a candidate for TPA therapy. Window period of time for therapy - 4.5 hours. Permissive HTN = Perfusion Notify for SBP > 180 HOB Midline, low fowlers Sooner the