420 Unit 1 Spring 2021 - For Millikin students from someone that went to Millikin PDF

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For Millikin students from someone that went to Millikin...

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MILLIKIN UNIVERSITY School of Nursing NU 420: Adult Health Nursing II Unit 1 Study Guide Neuro Note: This resource is provided to help you focus on what is most important to understand during this unit and as a practicing nurse. Unless noted otherwise, you are responsible for any content included in the materials listed on this study guide.

Unit 1 Objectives: 1. 2. 3. 4. 5. 6. 7. 8. 9.

Utilize appropriate methods to assess the neurological system Identify common disorders of the neurological system Plan, implement and evaluate an evidence based plan of care to promote the physical, psychosocial, and physiological well being of individuals diagnosed with a neurological disorder Explain the action, dosage, side effects, and accurately calculate dosages for common pharmacological preparations utilized in the management of the client with a neurological disorder Identify personal factors that increase the client’s risk of developing a neurological disorder Identify learning needs for client’s experiencing a neurological disorder Use effective communication when teaching clients and family members about symptoms and treatment options for neurological disorder Coordinate and prioritize nursing care for the client experiencing a neurological disorder Develop nursing care strategies to promote safety for the client experiencing a neurological disorder

Review Content Reading: Ignatavicius (2018)- Ch. 41, 42 pages 876-880, 43 pages 894-903, 44 pages 912-917, 45 pages 927-940

New Content Reading: 

Sole, Klein, & Mosely (2020)-Ch. 14 pages 331-353, 357-366

Videos & Recorded Lectures: See Moodle Key Terms: Homonymous hemianopsia Decerebrate Posturing apraxia

Autonomic Nervous System aphasia

Cranial Nerves

Decorticate posturing

Glasgow Coma Scale hemiplegia

NIH stroke scale

Tables/Charts/Figures/Diagrams to Facilitate Studying: Visual learners and those who like to see information in columns and lists may find studying using tables/figures/charts/diagrams more useful than reading narrative text.

Sole et al. (2020): Table 14-1 p. 334 Table 14-2 p. 336 Table 14-6 p. 341 Table 14-9 p. 349 Table 14-10 p. 359 Box 14-3 p. 362 Table 14-11 p. 364 Ignatavicius & Workman (2018): Chart 42-8 p. 878 Chart 42-9 p. 878 Chart 42-10 p. 880 Chart 43-2 p. 896 Chart 43-3 p. 898 Chart 44-1 p. 914 Chart 44-2 p. 915 Chart 45-1 p. 928 Table 45-1 p. 929 Chart 45-3 p. 933 Chart 45-4 p. 933 Chart 45-5 p. 936 Chart 45-6 p. 936 Table 45-3 p. 938

Important Diagnostic Tests and Laboratory Tests to Understand: Computed Tomography Cerebral Angiography MRI Lumbar Puncture BMP ABG

EEG CBC

*indicates the normal value(s) [and if applicable therapeutic value(s)] should be memorized; if no asterisk present, then must only know the importance of that particular lab test, not the normal value(s)

Medications (know why they are important to this unit, basic action, indications, therapeutic effect, nursing considerations, adverse effects): Medications: IV Immunoglobulin Fosphenytoin

Questions to Consider: General Reminders

Dexamethasone Diazepam

Phenytoin Lorazepam

  

As always, think about the nursing process for each disease process we talk about, especially assessment, nursing interventions, and evaluation (or how you will know care worked). Always refer to the above tables and powerpoints to focus your studying of medications, diagnostic tests, and key terms. . The below questions are meant to help facilitate studying and are not comprehensive for the entire exam. Not all concepts queried below are included on the exam but should help stimulate your thinking of these topics. Nursing interventions will likely be applied to the below concepts.

1. What are common complications of spinal cord injuries? How would the nurse recognize that these complications are occurring? 2. What assessment findings are important in patients with stroke? How would the nurse recognize these findings? 3. What assessment findings are important in patients with seizure disorders? What are appropriate interventions? 4. What assessment findings are important in patients with Guillian-Barre? How would the nurse recognize these findings? 5. What are educational priorities for patients with seizure disorders? 6. What are appropriate interventions for patients experiencing stroke? 7. What are the current requirements for tpa therapy? 8. Think about the diagnostic tests you would expect for each of the problems in this unit. Compare and contrast them....