Intracranial Pressure Flashcards

1
Q

Part of the brain responsible for affect, judgment, personality, and inhibition.

A

Frontal lobe

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2
Q

Part of the brain responsible for awareness of the body in space, size and shape discrimination, and right-left orientation.

A

Parietal lobe

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3
Q

Part of the brain responsible for sound memory and understanding music and language.

A

Temporal lobe

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4
Q

Part of the brain responsible for memory and visual interpretation.

A

Occipital lobe

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5
Q

What to ask when assessing a client for written and spoken language ability.

A

“Can you write your name on this sheet of paper,” or, “Can you read this article and tell me what it means?”

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6
Q

What to ask when assessing a patient for intellectual function.

A

Comparison questions like, “How are a pencil and pen alike?”

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7
Q

What to ask when assessing a patient for current mental status.

A

“Who is the president of the US,” or, “What year it is?”

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8
Q

A hyperactive reflex indicated by dorsiflexion followed by two to three beats before settling into position.

A

Clonus

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9
Q

Increased muscle tone at rest characterized by increased resistance to passive stretch.

A

Rigidity

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10
Q

Lack of muscle tone.

A

Flaccidity

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11
Q

Inability to coordinate muscle movements, leading to difficulty with walking, talking, and performing ADLs.

A

Ataxia

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12
Q

Difficulty drawing a figure that the nurse asked the patient to copy.

A

Visual receptive aphasia

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13
Q

Damaged area of the brain responsible for visual receptive aphasia.

A

Parietal-occipital lobe

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14
Q

Damaged area of the brain responsible for expressive aphasia.

A

Frontal lobe

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15
Q

Damaged area of the brain responsible for receptive aphasia.

A

Temporal lobe.

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16
Q

Meninges layer that surrounds the brain and extends into the folds.

A

Pia mater

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17
Q

The outer meninges layer covering the brain and spinal cord.

A

Dura mater

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18
Q

The middle meninges layer responsible for the production of CSF.

A

Arachnoid

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19
Q

Name for the three layers of fibrous tissue covering the brain and spinal cord.

A

Meninges

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20
Q

Symptom of an upper motor neuron lesion.

A

Loss of voluntary control of movement.

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21
Q

Symptoms of a lower motor neuron lesion.

A

Flaccid muscle paralysis, atrophy, decreased tone and absence of deep tendon reflexes, and loss of voluntary control.

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22
Q

How to test a client’s gag reflex.

A

With a cotton swab, lightly touch the back of the pharynx, first on one side of the uvula and then on the other.

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23
Q

Purpose of reflex testing.

A

To determine an intact spinal cord.

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24
Q

Reflex representing the emergence of old reflexes that disappear after nervous system maturity.

A

Pathological reflex. (Ex: The palmar reflex or Babinski reflex).

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25
Q

Neurological assessment used to assess cranial nerve I.

A

Identify familiar odors with closed eyes.

26
Q

Cranial Nerve I

A

Olfactory nerve

27
Q

Cranial Nerve II

A

Optic Nerve

28
Q

Neurological assessment used to assess Cranial Nerve II

A

Snellen Chart

29
Q

Part of the nervous system that constricts pupils, bronchioles, and urinary bladder walls while increasing peristaltic movement when stimulated.

A

Parasympathetic nervous system.

30
Q

The part of the nervous system responsible for dilated blood vessels, bronchioles, and pupils while increasing sweat secretion when stimulated.

A

Sympathetic nervous system.

31
Q

Part of the brain regulating body temperature, metabolism, reproduction, stress response, and urine production by working with the pituitary to maintain fluid balance and vasoconstriction and/or dilation.

A

Hypothalamus.

32
Q

Brain disease develops due to decreased dopamine availability.

A

Parkinson disease.

33
Q

Cranial Nerve XII

A

Hypoglossal nerve.

34
Q

Neurological assessment used to test Cranial Nerve XII.

A

Stick out the tongue and move it back and forth.

35
Q

Syndrome characterized by change in LOC, altered vital signs, diaphoresis, and agitation resulting from hypothalamic stimulation of SNS following a brain injury.

A

Sympathetic storm syndrome.

36
Q

Cranial Nerve VII

A

Facial nerve

37
Q

How to test function in cranial nerve VII.

A

Observe for facial symmetry by asking the client to smile, elevate eyebrows, and frown.

38
Q

Cranial Nerve XI

A

Spinal accessory nerve

39
Q

Cranial nerve VIII

A

Acoustic nerve.

40
Q

How to assess for function in cranial nerve VIII.

A

Evaluate hearing.

41
Q

Cranial nerve X

A

Vagus nerve

42
Q

A condition that develops due to impairment of acetylcholine binding to muscle cells, resulting in weakness of extremities and speech and chewing difficulties.

A

Myasthenia gravis

43
Q

Symptoms due to too much serotonin activity in the brain.

A

High BP, shivering, confusion, high fever.

44
Q

Disease that develops due to the expression of acetylcholine receptors of motor neurons.

A

Amyotrophic lateral sclerosis.

45
Q

Tactile sensation and pain response are dulled as clients age. True or false?

A

True.

46
Q

Diagnostic tool used to monitor a brain’s electrical activity.

A

Electroencephalography.

47
Q

A diagnostic tool that may cause dizziness or lightheadedness when examining the brain.

A

PET scan.
positron emission topography

48
Q

A diagnostic tool that’s invasive and is used to assess for lesions in the spinal cord by injecting contrast into the subarachnoid space in the spine and then x-raying it.

A

A myelogram.

49
Q

Neurological diagnostic test similar to a myelogram.

A

Lumbar puncture.

50
Q

A diagnostic exam that’s used to detect spinal cord deficits or peripheral nerve conduction due to demyelinating diseases like MS that slow nerve conduction. Also used to monitor spinal cord function during surgeries,

A

SER - somatosensory evoked responses test.

51
Q

How to neurologically assess a client who is not alert or unable to respond to verbal commands.

A

Observe for eye-opening, verbal and/or motor responses to stimuli, and record the type of stimuli needed to obtain the response.

52
Q

How to assess muscle tone.

A

Palpate various muscle groups at rest and during passive movement.

53
Q

How to assess cerebellum and basal ganglia function to determine the level of balance and coordination in the patient’s motor system.

A

Guide the client through rapid and alternating movements and point-to-point testing.

54
Q

The test used to assess balance by having the patient close their eyes and stand still. What is the positive indication?

A

Romberg test - loss of balance, but slight swaying is normal and not considered a positive result.

55
Q

Neurological disorders associated with autosomal dominance.

A

Alzheimer’s, Huntington’s Disease, and Hippel-Lindau Syndrome.

56
Q

Neurological disorders associated with autosomal recessiveness.

A
57
Q

Neurological disorders associated with X-linked abnormalities.

A

Duchenne muscular dystrophy and fragile X syndrome.

58
Q

EEG education from the nurse for the client.

A
  • The procedure takes 45-60 minutes.
  • A water-soluble lubricant is used for electrode contact that is easy to clean.
  • Do not drink caffeine the morning of the procedure due to stimulating effect.
  • Do not use stimulants, tranquilizers, anticonvulsants, or depressants for 24-48 hours before the test because they can mask abnormal wave patterns of seizure disorders.
  • Be sure to eat before the test to prevent blood glucose levels from changing brain wave patterns.
59
Q

When should cranial nerves be assessed?

A
  • Decrease in LOC
  • Brain stem pathology
  • When a spinal reflex is interrupted, indicating peripheral nervous system disease.
59
Q

What is required for accurate and appropriate neurological assessment?

A
  • Understanding diagnostic tests used.
  • Knowledge of nursing interventions related to dx testing and assessment.
  • Knowledge of anatomy and the nervous system.