Exam 7 Neuro & DTR'S

Question 0

Neurological checks

Answer 0

Normal response
Alert, oriented x 3
Follows commands
Opens eyes spontaneously 
PERRL
consensual light response
Moves extremities spontaneously and with equal strength 
Negative Romberg

Question 1

Neurological Assessment

Answer 1

1. Note results from last exam
2. Ck medical diagnosis and health history
3. If client is alert, explain that they will be asked some question
   Ask pt to: -state name
   - state where they are
   - identify year, month, date, and day of the week
   ALWAYS ASSESS VITAL SIGNS

Question 2

Documentation

Answer 2

1. Document assessment techniques performed and specific finding
2. Note: cognitive responses of the pts
   the cranial nerves tested
   sensation and motor responses
   Reflex testing data
3. Document any pt stmts of pain, muscle weakness, or joint abnormality
4. Record inspection findings, including turgor, color, temp, pulses, and capillary refill

Question 3

Older adult considerations

Answer 3

Slowed reaction time
Short term memory (recalling events)
Decreased musculoskeletal function (loss of muscle strength)
May take longer to perform certain actions (completing activities for testing coordination)

Question 4

Reflexes

Answer 4

Assess the integrity or sensory and motor pathways of the reflex arc (neural pathway that controls reflexes) and specific spinal cord segments

Question 5

DTR

Answer 5

Spinal level

Question 6

Biceps

Answer 6

C5 & C6

Question 7

Triceps

Answer 7

C6
C7
C8

Question 8

Brachioradialis

Answer 8

C5

C6

Question 9

Patellar

Answer 9

L2
L3
L4

Question 10

Achilles

Answer 10

S1

S2

Question 11

Superficial plantar (brabinski)

Answer 11

L4
L5
S1
S2

Question 12

Reflex grading

0

Answer 12

Absent

Question 13

1+

Answer 13

Hypoactive

Question 14

2+

Answer 14

Brisk

Question 15

3+

Answer 15

Brisker than normal, clonus

Question 16

4+

Answer 16

Hyperactive, sustained clonus

Question 17

Glasgow coma scale

Answer 17

Tool used for assessing pts response to stimuli

Score ranges from 3 (deep coma) - 15 (normal)

Question 18

Glasgow coma scale

EYES

Answer 18

4- Open spontaneously
3- open to verbal command
2- open to pain
1- no response

Question 19

Best motor response

Answer 19

6- obeys verbal commands
5- localizes painful stimuli
4- flexion withdrawal
3- flexion abnormal
2- extension 
1- no response

Question 20

Best verbal response

Answer 20

5- Oriented and converses
4- disoriented and converses
3- inappropriate words
2- incomprehensible sounds
1- no response