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NGN-NCLEX 2024 > Nervous System Rationales > Flashcards

Nervous System Rationales Flashcards

1
Q

A client experiencing vertigo. What should the nurse do?

A

Raise the side rails

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2
Q

Cataracts don’t cause _______.

A

IOP

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3
Q

Patients with glaucoma will have ________ and _______.

A

blurred vision and IOP

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4
Q

This medication is an abortive treatment for migraine headaches.

A

Sumatriptan

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5
Q

Restlessness is a central manifestation associated with ______.

A

Increased intracranial pressure

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6
Q

______ is a contraindication to a lumbar puncture.

A

ICP

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7
Q

Permissive hypertension during an _______ ______ allows the BP to go up to 185/110 mm Hg.

A

Ischemic stroke

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8
Q

_____ shock is manifested as hypotension because of massive peripheral vasodilation, bradycardia, and hypothermia. _____ pulses become thready.

A

neurogenic / peripheral

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9
Q

______ ______ causes individuals to experience ataxia, nystagmus, altered mental status, and memory impairments. Its due to a reduction in thiamine. Risk factors are alcohol use disorder and malnutrition.

A

Wernicke encephalopathy

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10
Q

_____ is the prescribed treatment for wernicke encephalopathy.

A

Thiamine (it also reduces lower extremity paresthesias.)

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11
Q

______ is a disorder when a client unexpectedly falls asleep in the middle of normal daily activities.

A

Narcolepsy

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12
Q

______ is a central nervous stimulant dosed during the daylight hours to keep the client alert.

A

Modafinil

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13
Q

This neuro disorder causes diplopia. Name 2

A

Myasthenia and MS

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14
Q

These neuro disorders cause generalized fatigue. Name 2

A

Parkinsons and MS

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15
Q

______ ______ is a lower motor neuron facial nerve palsy that can result in the weakness of facial muscles.

A

Bell’s palsy

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16
Q

What can be used to help with an exacerbation of Bell’s palsy?

A

ocular lubricant

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17
Q

____ is a muscle relaxer.

A

Baclofen

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18
Q

_____ antagonizes (blocks) dopamine. This is not helpful for Parkinson’s patients.

A

Haloperidol

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19
Q

_____ describing when a client has difficulty writing.

A

Agraphia

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20
Q

A client with ICP should not receive isotonic solutions such as _____% saline.

A

0.45

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21
Q

PEEP can increase _____.

A

cerebral pressure

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22
Q

______ have been shown to worsen outcomes for clients with a TBI and are not recommended.

A

Glucocorticoids (they may cause bleeding)

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23
Q

unstable patients should have a neuro check every _____ minutes to an _____.

A

30 minutes / hour

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24
Q

_______ ______ is a reversal agent for anticoagulants.

A

Protamine Sulfate

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25
____ is a adverse response to sumatriptan.
Angina
26
_______ is a first line anticonvulsant.
Lorazepam
27
_____ is not caused by unctrolled HPTN and diabetes.
Delirium
28
With ______ there is not an altered level of consciousness.
Dementia
29
I client should _____ before a lumbar puncture. To not interrupt the protocol.
Void
30
How is a client positioned for a lumbar puncture.
Lying on his side in a "C" position.
31
Midazolam causes a decrease in respiratory rate. If the client has ____ _____ they should not take the medication.
respiratory acidosis
32
_______ is a significant cause of delirium.
Polypharmacy
32
Halo's sign is an indication of a ______ skull fracture.
basilar
33
_____ symptoms can manifest as hypoglycemia. So it's important to check BG.
Stroke
34
Prior to an MRI you should check if the client is ______.
claustrophobic
35
When giving IV phenytoin establish _____ monitoring.
cardiac
36
With an EEG the client will have _______ placed around their head for a set period of time.
Electrodes
37
The brown squared syndrome is an ______ spinal cord injury. Characterized as weakness/paralysis on the same side and sensory loss on the opposite side.
incomplete
38
With a hx of A-fib ______ stroke is more likely.
ischemic
39
________ is an abnormal response to deep tendon reflex stimulation. characterized by rapid, rhythmic muscle contractions.
Clonus
40
prescribed mannitol needs a ______ ______ tubing.
filtered intravenous tubing.
41
Lamotrigine is an anti____ drug an mood stabilizer. It is considered to be a first line tx.
anti-seizure/ epilepsy
42
Lamotrigine may cause _____.
blisters
43
______ toxicity will cause altered mental status and altered speech pattern.
Benzodiazepine
44
Bacterial Meningitis is _______ precaution so you don't need to worry about closing the door and negative airflow.
droplet precaution
45
Before a lumbar puncture _______ are necessary because a potential contraindication would be needed.
Lab work (PT/INR)
46
Ceftriaxone is an _____ essential in the tx of bacterial meningitis.
antibiotic (admin immediately after cultures / LP are collected)
47
valproate, topiramate, and phenytoin are _______ seizure meds.
secondary
48
______ ______ is associated with lesions of the medulla or lower pons,
cluster breathing
49
_______ is the best position would prevent the client from developing foot drop.
dorsiflexion
50
Broca's area in the frontal lobe controls the _____ ______ ______.
expression of speech
51
_________ is characterized by a difference in pupil size.
aniscoria
52
mannitol is a osmotic _______. It is preferred for decreasing ICP.
diuretic
53
Ropinirole is a drug used to treat _______.
Parkinsons
54
A client with Meniere's disease should reduce there ____ intake too reduce fluid.
sodium
55
Tizanidine is a ______ _______.
muscle relaxant
56
The highest GCS is ______.
15
57
serum type and screen in required for ____ products.
plasma
58
______ and _____ is not an assessment parameter necessary to determine the efficacy of the FFP transfusion.
aPTT / Hematocrit
59
Ototoxic substances, presbycusis, and DM all cause _____ hearing loss.
sensorineural hearing loss
60
_____ is a expected finding of migraine headaches.
phonophobia
61
Decreased mood lability is a therapeutic response to ______.
carbamazepine
62
Kava and Valerian are herbal supplements that should not be taken with _______.
Lorazepam
63
______ is an expected finding of Huntington's disease.
Hallucinations
64
Carbidopa - levodopa may cause _____ and _______.
hallucinations and dizziness upon standing.
65
Nasal congestion is indicative of ______ dysreflexia.
autonomic dys.
66
Prednisone and valacyclovir are prescribed to tx _____ _______.
Bell's palsy

NGN-NCLEX 2024 (62 decks)

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