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Nursing 101 & 102 > Nervous Assessment > Flashcards

Nervous Assessment Flashcards

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0
Q

Damage to Broca’s area and difficulty communicating what they have to say.

A

Expressive aphasia

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1
Q

What is the key component of the nervous system?

A

LOC (level of consciousness)

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2
Q

Damage to Wernicke’s area in the temporal lobe means can talk to them but they don’t understand “word salad”

A

Receptive aphasia

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3
Q

What does ETOH affect?

A

The frontal lobe

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4
Q

What test is used to look for swaying by having them put feet together, arms at sides, eyes open then closed.

A

Rombergs Test

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5
Q

The ability to identify objects

A

Stereognosis

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6
Q

What does the spinothalamic tract test?

A

Pain and temperature

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7
Q

What is the name for the inability to identify objects?

A

Astereognosis

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8
Q

The ability to recognize letters and numbers being drawn on the palm

A

Graphesthesia

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9
Q

Abnormal continued oscillating rhythmic movement is called

A

Clonus

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10
Q

Reflexes are documented on a scale using which numbers

A 
0- absent 
1- weak 
2- normal
3- exaggerated 
4- hyperreflexia with clonus
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11
Q

Stroke the lateral aspect of the foot sole if the toe fans this is called

A

A positive babinski

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12
Q

A shortened version of a full neuron exam

A

Neuro check

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13
Q

Alert and attentive

A

Full consciousness

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14
Q

Alert but not sure where they are

A

Confusion

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15
Q

Oriented responses are slowed

A

Lethargy

16
Q

Difficult to arouse

A

Obtundation

17
Q

Needs vigorous stimulation and cannot follow commands

A

Stupor

18
Q

Sleep like state, cannot be aroused and doesn’t respond to stimuli

A

Coma

19
Q

Abnormal flexion response where upper arms are pulled tightly in, elbows, wrists, and fingers are pulling in, and legs are extended with internal rotation.

A

Decortication

20
Q

Abnormal extension response where elbows are extended, arms are abducted and stiff, forearms are pronated, legs are extended and feet are flexed.

A

Decerebration

Needs to be reported immediately

21
Q

Turn the patients head side to side while holding the eyes open
Favorable - eyes stay straight ahead
Non-favorable - eyes move with the head
Nonresponsive patient

A

Oculocephalic reflex

22
Q

Cold water is pressed into the ear and observed for eye movement
Favorable - eyes will look at you
Nonfavorable - eyes will stay still
Unconscious patient

A

Oculovestibular reflex

23
Q

Olfactory; smell; sensory only; both sides and eyes closed

A

CN I

24
Q

Optic; vision; sensory function; Snellen chart for visual acuity; peripheral eye exam by wiggling fingers on each side

A

CN II

25
Q

Oculomotor; eye movement; eye elevation; pupil constriction; motor only. When examiner uses a penlight to test for constriction.

A

CN III

26
Q

Troclear; eye movement; motor only. Examiner moving fingers in a N or wide H.

A

CN IV

27
Q

Abducens; eye movement; motor only when examiner make an N or wide H with fingers

A

CN VI

28
Q

Trigeminal; facial sensation; chewing; sensation and motor; touch the forehead, cheeks, and jaw with eyes closed; clench teeth and try to open the jaw against resistance and try to close the jaw against resistance.

A

CN V

29
Q

Facial; taste and facial expression; sensory and motor; when the examiner uses sugar and salt to test tasting; when the examiner asks the patient to smile, puff cheeks, close eyes, and try to open.

A

CN VII

30
Q

Acoustic/Vestibulocochlear; hearing and equilibrium; sensory; tuning fork test or rusting fingers; walk a straight line; stand with eyes closed

A

CN VIII

31
Q

Glossopaharyngeal; taste posterior tongue; larynx and pharynx; gag and swallow; sensory and motor; tongue depressor; make a kuh kuh kuh sound; ask to swallow.

A

CN IX

32
Q

Vagus; sensation of pharynx and larynx; sensory and motor; gag and swallow; use a tongue depressor; make a kuh kuh kuh sound; ask to swallow.

A

CN X

33
Q

Spinal accessory; muscle of neck, sternocleidomastoid, shoulders; shoulder shrug; head turn.

A

CN XI

34
Q

Hypoglossal; tongue muscle; motor; stick tongue out.

A

CN XII

Nursing 101 & 102 (19 decks)

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