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NSG.200 > Intracranial Regulation > Flashcards

Intracranial Regulation Flashcards

1
Q

The client is responsive and able to open their eyes and answer questions spontaneously and appropriately?

A

Alert

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2
Q

The client is able to open their eyes and respond but is drowsy and falls asleep readily?

A

Lethargic

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3
Q

The client responds to light shaking but can be confused and slow to respond?

A

Obtunded

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4
Q

The client requires painful stimuli (pinching a tendon or rubbing the sternum) to achieve a brief response. The client might not be able to respond verbally?

A

Stuporous

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5
Q

There is no response to repeated painful stimuli. Abnormal posturing in clients who are comatose: Decorticate, Decerebrate?

A

Comatose

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6
Q

Flexion and internal rotation of the upper extremity joints and legs?

A

Decorticate rigidity

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7
Q

Neck and elbow extension, with the wrists and fingers flexed?

A

Decerebrate rigidity

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8
Q

A nurse is performing a neurologic examination for a client. What assessment should the nurse perform to test the client’s balance?

A

Romberg test

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9
Q

CNI Olfactory

A

Sensory: Smell

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10
Q

CNII Optic

A

Sensory: Visual acuity, visual fields

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11
Q

CN III (Oculomotor)
CN IV (Trochlear)
CN VI (Abducens)

A

Motor: PERRLA, six cardinal positions of gaze

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12
Q

CN V (Trigeminal)

A

Sensory: light touch sensation to the face (forehead, cheek, jaw)
Motor: jaw opening, clenching, chewing

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13
Q

CN VII (Facial)

A

Sensory: taste (salt/sweet) on anterior two thirds of the tongue.
Motor: facial movements

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14
Q

CN VIII (Auditory)

A

Sensory: hearing and balance

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15
Q

CN IX (Glossopharyngeal)

A

Sensory: taste(sour/bitter) on posterior third of the tongue
Motor: swallowing, speech sounds, gag reflex

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16
Q

CN X (Vagus)

A

Sensory: gag reflex
Motor: swallowing, speech quality

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17
Q

CN XI (Spinal accessory)

A

Motor: turning head, shrugging shoulders

18
Q

CN XII (Hypoglossal)

A

Motor: tongue movement

19
Q

The client is having difficulty swallowing. Which of the following cranial nerves controls swallowing?

A

Glossopharyngeal

20
Q

Misalignment of the axes of the eyes

A

Strabismus

21
Q

A cloudy pupil or a loss of transparency of the lens of the eye

A

Cataract

22
Q

An inflammation of the conjunctiva causing redness and drainage

A

Conjunctivitis

23
Q

Bleeding that occurs under the conjunctiva

A

Subconjunctival hemorrhage

24
Q

Grey matter; thinking portion of brain (thought, memory, reasoning)

A

Cerebral cortex

25
Q

Personality is in this lobe

A

Frontal lobe

26
Q

In frontal lobe language center (stroke here = expressive aphasia)

A

Broca’s area

27
Q

Primary auditory center, interpretation of memory

A

Temporal lobe

28
Q

In temporal lobe, language comprehension (stroke here = receptive aphasia)

A

Wernicke’s area

29
Q

Processes sensory information

A

Parietal lobe

30
Q

Primary visual center

A

Occipital lobe

31
Q

Coordination, balance, control of muscle movements

A

Cerebellum

32
Q

Relay center; all information, except for smell comes here before being sent to the cerebral cortex for interpretation

A

Thalamus

33
Q

Link between the endocrine and nervous system autonomic control center (body’s thermostat)

A

Hypothalamus

34
Q

Connects limbic system to other parts of brain; pineal gland is here (melatonin) limbic system adds emotional value to memories

A

Epithalamus

35
Q

What is the normal intracranial pressure ICP in adults?

A

5-15mmHg

36
Q

Which symptoms might indicate increased intracranial pressure?

A

Headache, bradycardia, vomiting, and hypertension

37
Q

The functions of the hypothalamus include:

A

Regulating body temperature, regulating heart rate, and managing hunger and thirst

38
Q

At what age is a child expected to no longer have a positive Babinski reflex?

A

2 years

39
Q

What cranial nerve is assessed by having the patient say “ah” and observing the uvula’s movement?

A

CN X

40
Q

What is the main function of the spinothalamic tract?

A

Carrying pain and temperature sensations

41
Q

Which cranial nerve controls lateral eye movement?

A

CN VI

NSG.200 (2 decks)

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