Neuro Jeopardy

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Author:
wiscflor
ID:
12054
Filename:
Neuro Jeopardy
Updated:
2010-03-26 13:28:23
Tags:
MS2 Exam 3
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Description:
NJ
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  1. This is the nurses’s first priority when receiving an acute stroke patient for evaluation
    Assess ABC
  2. This is the cerebral perfusion pressure if the ICP is 25, systolic BP is 110 and diastolic BP is 50.
    45 – There will be a calculation on test

    • MAP = [Systolic + (2x Diastolic)] /3
    • MAP = (110 + 2x50)/3
    • MAP = (110 + 100)/3
    • MAP = 210/3 = 70

    • CPP = MAP - ICP
    • CPP = 70 - 25
  3. The nurse should check these two lab tests for a seizure patient on carbamazepine (Tegretol)
    CBC and Tegretol level
  4. These are the priorities of care for the patient with delirium
    Identify underlying cause and protect from injury
  5. Patients with autonomic dysreflexia will complain of this symptom and these are the actions the nurse should take
    Elevate head of bed

    Take BP

    Remove underlying cause
  6. Neurogenic shock results in these vital sign changes
    Bradycardia and Hypotension
  7. This the MOA for cholinesterase inhibitors in the treatment of Alzheimer’s disease
    Makes more acetylcholine available in the brain
  8. These nursing interventions will limit increases in intracranial pressure
    Elevate HOB

    Neck midline

    Avoid hip or knee flexion

    Limit coughing or suctioning
  9. This test is used to emergently differentiate ischemic and hemorrhagic stroke
    Non-contrast CT
  10. This is the priority assessment for a patient with myasthenia gravis
    Respiratory status
  11. This cardiac problem increases the risk of embolic stroke
    A-fibrillation
  12. This test is used to differentiate cholinergic and myasthenic crisis
    Tensilon test
  13. These are the two most common causes of delirium
    Medication toxicity and infection
  14. This is the priority assessment for the patient with Guillain-Barre Syndrome
    Respiratory rate and effort
  15. This will be the earliest sign of ICP?
    Change in LOC

    ****EXAM****
  16. This cause of confusion should only be diagnosed after reversible causes have been ruled out
    Alzheimer’s dementia
  17. This drug is used to prevent secondary cord damage after acute spinal cord injury
    Methylprednisolone (Solumedrol)
  18. Parkinson’s disease results from a deficiency of this neurotransmitter and is treated with this drug
    Dopamine and Sinemet
  19. This therapy can be given for ischemic stroke within 3 hours
    tPa
  20. This electrolyte abnormality will worse elevated ICP
    Hyponatremia
  21. This cause for confusion has an abrupt onset and altered LOC
    Delirium
  22. The most significant risk factor for stroke
    Hypertension
  23. This disease results from demyelization in the brain and spinal cord
    Multiple sclerosis
  24. These are the two variables that effect CPP
    ICP and MAP
  25. This disease results in facial droop and a palsy of this cranial nerve
    Bell’s Palsy and Cranial Nerve VII

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