What part of the brain initiates voluntary movement?
What part of a neuron arrives impulses toward the cell body?
What structure electrically insulates neuron?
What is the term for unequal pupils?
While assessing a patient's pupils for light reactivity, which cranial nerve is being tested?
Cranial Nerve 3 -- Oculomotor
Which transmitter is in charge of the flight or fight response?
Your patient has an impairment of CNS IX and X. What intervention should the nurse plan to maintain the patient's safety while diagnostic testing is being completed?
Swallowing and Gag reflex
Your patient was admitted with severe headaches. How would you prepare the patient for a CT scan of the brain?
No prep needed
What explanation should be provided to the patient and family regarding an MRI scan?
No metals because magnetic energy is used to visualize the body
What part of the brain would be involved if your patient has decerbrate posturing with extended extremities?
What type of condition would your patient be experiencing if they had a stroke and is unable to understand what you are saying and appears frustrated?
What type of respond would the nurse observe if the nurse shines a light in a patient's left pupils and both of the pupils constrict?
Your patient has had a stroke. What precaution would you take after testing noting the patient has a positive Romberg Test?
Falls --- making sure that they don't fall
What are early signs of ICP?
Change in LOC, restlessness and irritablity
What would be the most important function for the nurse while preparing the patient for placement of an emergency subarachnoid bolt due to ICP?
Need a consent from family because its an invasive procedure
What action would the nurse take if when ambulating her patient to the bathroom and patient begins a generalized tonic-clonic seizure?
Get them to the floor safely by sliding them down your leg to prevent injury and turn them on side and maintain airway ..
After your patient is status post brain surgery for tumor involvement and you observe jerking rhythmical movement in bed. What would you do?
Padded Side Rails
What seizure medication would you anticipate your patient being discharge on?
What response would you give a patient who is crying and stating her life is over since her seizure because she will never be able to drive anymore?
Explain if you are poorly controlled cannot get license back
But if seizure free for 1 year you can get license back
Your patient has been diagnosed with a concussion. What explanation should the nurse provide to the patient's mother?
Its a Mild Brain Injury
Check LOC for 5 mins
Dizziness and headache, nausea, amnesia
Your patient with a head injury has a widening pulse pressure. What action would the nurse do first?
Sign of ICP
raise HOB to 30 degrees to decrease edema
Your C5 quadriplegia patient with a halo vest states of a headache, nausea and facial flushing after you transfer him to the wheelchair. What should you do first?
once BP is under control assess where its coming from
Women cares for her husband with a C7 SCI. After extensive caring for her husband, she is exhausted. What outcome criteria would be relevant to a nursing diagnosis of caregiver role strain for this care plan>
let her identify help
get resources help her
A patient with a SCI arrives in the ECU, during assessment of motor and sensory function, finds the patient without sensation or movement in all 4 extremities. What are of the SCI located>
C4 - C5 quadrapalegic from neck down
What term do you use to document paralysis of all four extremities?
quadriplegic --- tetrapalegic
A patient has right sided weakness and aphasia due to TIA, which part of brain is affected?
what term describes left sided flaccidity in a patient who has had a stroke?
What medication is an example of antiplatelet med?
Which artery is involved when a patient is experiencing bilateral hemiparesis, dysphasia, visual changes, Change in LOC, dysphagia, ataxia?
Vertebrobasilar/ cerebellar artery
Which type of CVA has the slowest rate of recovery and highest probability of causing extensive neurological deficits?
Which drug therapy does the nurse anticipate administering to help resolve an exacerbation of MS?
Steroids --- ACTH and prednisone
Which assessment finding would you include in your teaching about risk factors associated with exacerbation of MS?
your are caring for a mother of 3 young children who has MG. She states that she has become fatigued by the afternoon. What statement by the nurse can help her cope with fatigue?
teach to schedule activities at the peak of meds
what lab test should the nurse evaluate first when caring for a patient with GB?
what nursing action is appropriate to help protect the affected eye with Bells Palsy?
eyedrops and eye patch
What lab test should the nurse verify and place on the medical record before preparing the patient with MG who is about to undergo plasmaphoresis?
clotting factor studies
FAST assessment ?
Time of onset
What nursing interventions might help prevent aspiration during eating?
remind to swallow 2 times
eat 1 thing at a time
place food on unaffected side of mouth
don't mix food with fluid
Meds that you would question dr about for a patient with a hemorrhagic stroke