NERVOUS SYSTEM

Question 1

cranial nerve _ controls vision

Answer 1

2

Question 2

cranial nerve_controls the ear and balance

Answer 2

8

Question 3

cranial nerve that can be affected by toxicity to aminoglycosides such as erythromycin, gentamicin

Answer 3

8

Question 4

uses 3 subscale: best eye opening, best verbal responses, best motor response with a maximum score of 15

Answer 4

Glascow Coma Scale

Question 5

Signs of ototoxicity

Answer 5

are tinnitus, dizziness, vertigo, nausea and vomiting

Question 6

Meniere’s disease

Answer 6

a balance disorder

Question 7

abnormal increase in intraocular pressure

Answer 7

Glaucoma

Question 8

A triad of symptoms of vertigo, hearing loss, and tinnitus characterizes

Answer 8

Meniere’s disease.

Question 9

Is glaucoma a medical emergency

Answer 9

yes

Question 10

results in gradual loss of peripheral vision (tunnel vision)

Answer 10

Open angle Glaucoma

Question 11

Glasgow Coma Scale

Answer 11

used to assess levels of consciousness in clients with neurological problems

Question 12

The cranial nerve #5 affects the

Answer 12

trigeminal nerve which controls the face, eye surface and chewing

Question 13

A neurologic client who opens eyes to speech has a

Answer 13

higher Glasgow Coma Scale rating

Question 14

salt restricted diet

Answer 14

A patient with Meniere’s disease can benefit from a

Question 15

This patient should avoid alcohol, caffeine and tobacco use

Answer 15

Meniere’s disease

Question 16

Cataract

Answer 16

an eye disease where the normally transparent lens becomes clouded and opaque leading to progressive blurring and gradual loss of vision

Question 17

After cataract surgery, teach patient to avoid

Answer 17

increasing intraocular pressure – coughing, bending or rapid head movement and to avoid vomiting or constipation

Question 18

The most significant sign of increased in intercranial pressure

Answer 18

decrease in the level of consciousness

Question 19

A common complaint of the patient with a retinal detachment is seeing

Answer 19

a veil-like curtain in the visual field as well as flashes of light

Question 20

photocoagulation

Answer 20

retina detachment surgery

Question 21

After retina detachment surgery (photocoagulation

Answer 21

keep patch on both eyes and keep both eyes bandaged for 24 hours

Question 22

What causes gum hyperplasia?

Answer 22

Dilantin

Question 23

Cataract

Answer 23

an eye disease where the normally transparent lens becomes clouded and opaque leading to progressive blurring and gradual loss of vision

Question 24

After cataract surgery, teach patient to avoid

Answer 24

increasing intraocular pressure

Question 25

Glaucoma

Answer 25

abnormal increase in intraocular pressure

Question 26

coughing, bending or rapid head movement and to avoid vomitinIs flaucoma a medical Is

Answer 26

increasing intraocular pressure

Question 27

Is Glaucoma a medical emergency?

Answer 27

yes

Question 28

Open angle Glaucoma results in

Answer 28

gradual loss of peripheral vision (tunnel vision)

Question 29

Kernig’s sign

Answer 29

present if the lower leg if the lower leg cannot extend due to pain and spasm when a client is lying I supine with one leg bent over the abdomen

Question 30

Kernig’s sign and Brundzinki’s sign

Answer 30

frequently seen in client suffering from Meningitis

Question 31

During a seizure episode, the nurse should first move anything in the environment that could

Answer 31

injure a patient but should not move the patient

Question 32

The client stands erect with feet together. First with eyes open and then closed

Answer 32

Romberg’s Test

Question 33

Negative Babinski’s reflex

Answer 33

When the sole of the foot is stroked from the heel to the ball of the foot, toes should curl downward

Question 34

If client is unable to maintain balance with eyes closed

Answer 34

this is Romberg’s sign and indicates cerebellar damage

Question 35

If toes fan upward this is termed a positive Babinski’s sign and is an abnormal response (after age

Answer 35

That suggests brain stem damage

Question 36

The characteristic problem in Parkinson’s disease is

Answer 36

rigidity and tremors

Question 37

Brundzinski’s sign

Answer 37

present if the client’s hips and knees flex when he is lying supine with his head lifted towards the chest

Question 38

Multiple sclerosis

Answer 38

is a progressive C.N.S. disorder

Question 39

caused by demyelination in the brain and spinal cord

Answer 39

Multiple sclerosis

Question 40

Nursing intervention for clients with MS are aimed at

Answer 40

safety and maximizing the client’s independence

Question 41

Tensilon test

Answer 41

used to diagnose Myasthenia Gravis

Question 42

Bell’s palsy

Answer 42

Involves paralysis of one side of the face, usually due to inflammation of the 7th cranial nerve

Question 43

Nursing care for clients with ALS

Answer 43

monitor respiratory function, and monitor ability to swallow

Question 44

Lou Gehrig’s disease

Answer 44

a progressive, fatal, motor neuron disease causing progressive muscular atrophy

Question 45

Lou Gehrig’s disease

Answer 45

Amyotropic Lateral Sclerosis

Question 46

Thoracic and lumbar spinal cord injuries affect the

Answer 46

legs, bladder and bowel movement

Question 47

muscles used for breathing are paralyzed

Answer 47

A spinal cord injury at C3 or above is usually fatal because

Question 48

Following a lumbar puncture

Answer 48

the client should be on bed rest for 6 to 8 hours

Question 49

Deafness and Vertigo indicates

Answer 49

that cranial nerve number 8 is affected

Question 50

The best position for a lumbar puncture is

Answer 50

the patient lying on her side with her knees curled up towards the chest

Question 51

A patient with a diagnosis of meningitis should be placed in

Answer 51

isolation with less sources of stimuli

Question 52

Cerebral spinal fluid would test

Answer 52

positive for glucose

Question 53

this finding should be reported if a person has drainage testing positive for glucose after a head injury

Answer 53

Cerebral spinal fluid test

Question 54

The first sign of increased intracranial pressure (ICP)

Answer 54

an alteration in the level of consciousness

Question 55

Very often with head injury what is observed?

Answer 55

hyperthermia with body temperature of approximately 105 degrees Fahrenheit is observed

Question 56

Elevating the head of bed approximately 30 degrees

Answer 56

can help reduce intracranial pressure by promoting venous return

Question 57

Myasthenia Gravis

Answer 57

an autoimmune disorder causing disturbances in the transmission of impulses from muscles resulting in extreme muscle weakness

Question 58

Weber and Rinne test

Answer 58

are used to evaluate hearing problems

Question 59

Parkinson’s disease

Answer 59

progressive, degenerative disorder

Question 60

Cardinal signs of Parkinson’s disease

Answer 60

Tremor at rest, rigidity, slow movement, shuffle gait, mask-like face, emotional labiality, drooling, sweating.

Question 61

Parkinson’s disease

Answer 61

caused by dopamine depletion and resulting in a generalized decline in muscular functions

Question 62

Teach client with Bell’s palsy

Answer 62

It usually lasts 2 to 8 weeks

Question 63

client should prevent corneal drying by using artificial tears or manually closing eyes if necessary

Answer 63

Bell’s Palsy

Question 64

A nurse’s primary responsibility for the client with Parkinson’s disease is to

Answer 64

maintain a safe environment in deference to the decline in muscular function

Question 65

With left sided CVA

Answer 65

right side involvement (right side paralysis) would be expected

Question 66

right sided CVA

Answer 66

left side involvement (right side paralysis) would be expected