Head/Neck/Neuro/NG

Question 1

NG tube Indications

Answer 1

-Bowl obstruction
-Distention
-Absent bowl sounds
-Poisoning
-Lavage (Leaving) Gavage (give)

Question 2

Enteral Nutrition Inidcations

Answer 2

-Can not swallow
-Stroke
-Anorexia
-Malnourished

Question 3

NG tube has a ________ for creating ____________ and to __________ contents out of the stomach

Answer 3

Pigtail, Negative Pressure, Lavage

Question 4

Keep head of bed at _________ to combat aspiration in tube feeding

Answer 4

30-45%

Question 5

Tuck chin to close

Answer 5

Glottis to get the tube past it

Question 6

Contraindications for NG tubes

Answer 6

Skull or facial factures

Question 7

Assessment before place a tube

Answer 7

-Respiratory
-Abdominal
-N/M/T
-Head face neck

Question 8

Flush with how many mL’s to start. Flush with how many mL’s at the end

Answer 8

-15-30 at start
-30-60 at end

Question 9

Lymph Nodes

Answer 9

1. Preauricular
2. Postauricular
3. Occipital
4. Posterior cervical
5. Submental (one finger)
6. Submandibular
7. Superficial cervical
8. Deep cervical chain
9. Supracalvicular

Question 10

What are the two arteries you palpate during the head-neck assessment

Answer 10

-Temporal
-Carotid

Grade on a 4+ scale

Question 11

Term used to describe the skull that is round, symmetric, and sized appropriate to the body

Answer 11

Normocephalic

Question 12

Sinus under the cheek bone

Answer 12

Maxillary

Question 13

Babinski

Answer 13

-Upper neuron motor lesion

-You want a negative: Older than 2 toes should curl downward

-Postive: Toes flare outward

Question 14

What test for cerebellar function?

Answer 14

-Romberg

-Tandem Walking

Question 15

Muscle strength is graded on what scale?

Answer 15

0-5

Question 16

Pronator Drift

Answer 16

Middle and upper arm weakness

Question 17

Increased Pain Sensation

Answer 17

-What is Hyperalgesia

Question 18

Position of patient should be in before placement of NG

Answer 18

High fowlers

Question 19

What Cranial nerve is being assessed with facial structures

Answer 19

VII

Question 20

Cranial Nerves being assessed in smell or taste

Answer 20

Cranial nerve I

Cranial nerve VII

Cranial Never IX

Question 21

Cranial Nerve being assessed for tongue and speech

Answer 21

XII

Question 22

Cranial Nerve being assessed in swallowing

Answer 22

IX and X

Question 23

Cranial Nerve being assessed in PERRLA

Answer 23

Cranial nerve III

Cranial nerve IV

Question 24

Small Skull

Answer 24

Microcephaly

Question 25

Large Skull

Answer 25

Macrocephaly