disorders of the neuro system

Question 1

viral Meningitis signs and symptoms

Answer 1

more common
rarely serious
flu-like symptoms
1-2 weeks

Question 2

Encephalitis

Answer 2

contracted from vectors (mosquitos)

ask pt. if they traveled recently

Question 3

Parkinson’s signs and symptoms

Answer 3

gradual and subtle, early symptoms masked by aging or fatigue, muscular rigidity, bradykinesia or akinesia, tremors, changes in posture, shuffling gait, pill rolling,

Question 4

parkinsons safety

Answer 4

with ambulation

Question 5

Romberg sign

Answer 5

pt. is able to stand with feet together and eyes open, but sways or falls with eyes closed

Question 6

positive Romberg sign in older adults safety precautions

Answer 6

assist with ambulation

Question 7

positive Babinski sign

Answer 7

when the bottom of the feet are stimulated and the toes fan out indicating a neurological issue

Question 8

decerebrate posture

Answer 8

the arms and legs being held straight out, the toes being pointed downward, and the head and neck being arched backward.

Question 9

myelogram

Answer 9

for severe symptoms

Question 10

CT scan education

Answer 10

done FIRST, easier and detects skull fractures better

Question 11

What should you monitor with CT scans?

Answer 11

unstable vital signs

Question 12

Should you medicate before a CT scan?

Answer 12

yes

Question 13

What kind of hereditary disease is Huntington’s?

Answer 13

autosomal dominant

Question 14

viral meningitis

Answer 14

very common

flu like symptoms for 1-2 weeks

Question 15

bacterial meningitis

Answer 15

isolation
antibiotics
droplet precautions

Question 16

bacterial meningitis signs and symptoms

Answer 16

stiff neck
photophobia
headache

Question 17

positive Brudzinski sign indicates what?

Answer 17

meningitis

flexion of neck causes hips and knees to flex

Question 18

sympathetic response

Answer 18

fight or flight
heart rate goes up
peristalsis goes down
bronchioles dilate

Question 19

partial seizure

Answer 19

does not lose consciousness

Paresthesia of opposite side of body, involuntary arm/hand movement of opposite side , visual disturbances

Question 20

generalized seizure

Answer 20

Tonic- 30-60secs, rigidity, pupils fixed and dilated, hands/jaw clenched
Clonic- muscles jerking in a rhythmic manner, incontinent, biting lips

Question 21

seizure triggers

Answer 21

stress
flashing lights
caffeine
fatigue

Question 22

four tool

Answer 22

no evaluation of verbal response is necessary

Question 23

Alzheimer’s stage 1

Answer 23

Early Stage, lasts 2-4 years
Increasing forgetfulness
Coping mechanisms- lists
Diminished interests
Termination from job

Question 24

Autonomic dysreflexia

Answer 24

most common cause is bladder distension

aggravating stimuli below injury

Question 25

ADL’s and the upper body

Answer 25

upper body
ocupational therapy
pain in the upper body

Question 26

Migraine treatment

Answer 26

quit amatrex
dark rooms
rest

Question 27

promoting nutrition for neurological dysfunction

Answer 27

small frequent meals
high calorie and dense foods
ex. protein shakes

Question 28

Diacephalon

Answer 28

hypothalamus

thalamus

Question 29

bromocriptine education

Answer 29

may cause dizziness

Question 30

brain herniation outcome

Answer 30

death

prepare for organ donation and end of life care

Question 31

brain tumor pt. safety

Answer 31

similar to seizure precautions
padded side rails
bed low
suction near by

Question 32

how do you move pt.s with spinal cord injuries?

Answer 32

log roll them

Question 33

LEP signs and symptoms

Answer 33

fixed dilated pupils 
LOC dteriorates 
temp goes up
headache
systolic bp goes up

Question 34

LEP treatment

Answer 34

manitol

Question 35

4 points

Answer 35

patient is trying to get out of bed

Question 36

Alzheimer’s stage 2

Answer 36

Longest stage, 2-12 years
Become more irritable- especially with tasks- break down into simple steps
Depression
Aphasia (receptive and expressive)
Normal sleep-wake cycle disrupted- wandering
Personal hygiene deteriorates
Inappropriate social behavior 
Hoarding

Question 37

Alzheimer’s stage 3

Answer 37

Progression to complete dependency 
Incontinence B/B
Loss of ability to converse
Emotional control lost
Inability to recognize loved ones
Unable to move, swallow, or express needs
Death from complication of immobility

Question 38

what is a drug holiday?

Answer 38

pt. stops all medications for 24 hours to enjoy drinking and other activities

Question 39

paresis

Answer 39

tingling snesation