Nervous System Rationales Flashcards
A client experiencing vertigo. What should the nurse do?
Raise the side rails
Cataracts don’t cause _______.
IOP
Patients with glaucoma will have ________ and _______.
blurred vision and IOP
This medication is an abortive treatment for migraine headaches.
Sumatriptan
Restlessness is a central manifestation associated with ______.
Increased intracranial pressure
______ is a contraindication to a lumbar puncture.
ICP
Permissive hypertension during an _______ ______ allows the BP to go up to 185/110 mm Hg.
Ischemic stroke
_____ shock is manifested as hypotension because of massive peripheral vasodilation, bradycardia, and hypothermia. _____ pulses become thready.
neurogenic / peripheral
______ ______ 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.
Wernicke encephalopathy
_____ is the prescribed treatment for wernicke encephalopathy.
Thiamine (it also reduces lower extremity paresthesias.)
______ is a disorder when a client unexpectedly falls asleep in the middle of normal daily activities.
Narcolepsy
______ is a central nervous stimulant dosed during the daylight hours to keep the client alert.
Modafinil
This neuro disorder causes diplopia. Name 2
Myasthenia and MS
These neuro disorders cause generalized fatigue. Name 2
Parkinsons and MS
______ ______ is a lower motor neuron facial nerve palsy that can result in the weakness of facial muscles.
Bell’s palsy
What can be used to help with an exacerbation of Bell’s palsy?
ocular lubricant
____ is a muscle relaxer.
Baclofen
_____ antagonizes (blocks) dopamine. This is not helpful for Parkinson’s patients.
Haloperidol
_____ describing when a client has difficulty writing.
Agraphia
A client with ICP should not receive isotonic solutions such as _____% saline.
0.45
PEEP can increase _____.
cerebral pressure
______ have been shown to worsen outcomes for clients with a TBI and are not recommended.
Glucocorticoids (they may cause bleeding)
unstable patients should have a neuro check every _____ minutes to an _____.
30 minutes / hour
_______ ______ is a reversal agent for anticoagulants.
Protamine Sulfate
____ is a adverse response to sumatriptan.
Angina
_______ is a first line anticonvulsant.
Lorazepam
_____ is not caused by unctrolled HPTN and diabetes.
Delirium
With ______ there is not an altered level of consciousness.
Dementia
I client should _____ before a lumbar puncture. To not interrupt the protocol.
Void
How is a client positioned for a lumbar puncture.
Lying on his side in a “C” position.
Midazolam causes a decrease in respiratory rate. If the client has ____ _____ they should not take the medication.
respiratory acidosis
_______ is a significant cause of delirium.
Polypharmacy
Halo’s sign is an indication of a ______ skull fracture.
basilar
_____ symptoms can manifest as hypoglycemia. So it’s important to check BG.
Stroke
Prior to an MRI you should check if the client is ______.
claustrophobic
When giving IV phenytoin establish _____ monitoring.
cardiac
With an EEG the client will have _______ placed around their head for a set period of time.
Electrodes
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
With a hx of A-fib ______ stroke is more likely.
ischemic
________ is an abnormal response to deep tendon reflex stimulation. characterized by rapid, rhythmic muscle contractions.
Clonus
prescribed mannitol needs a ______ ______ tubing.
filtered intravenous tubing.
Lamotrigine is an anti____ drug an mood stabilizer. It is considered to be a first line tx.
anti-seizure/ epilepsy
Lamotrigine may cause _____.
blisters
______ toxicity will cause altered mental status and altered speech pattern.
Benzodiazepine
Bacterial Meningitis is _______ precaution so you don’t need to worry about closing the door and negative airflow.
droplet precaution
Before a lumbar puncture _______ are necessary because a potential contraindication would be needed.
Lab work (PT/INR)
Ceftriaxone is an _____ essential in the tx of bacterial meningitis.
antibiotic (admin immediately after cultures / LP are collected)
valproate, topiramate, and phenytoin are _______ seizure meds.
secondary
______ ______ is associated with lesions of the medulla or lower pons,
cluster breathing
_______ is the best position would prevent the client from developing foot drop.
dorsiflexion
Broca’s area in the frontal lobe controls the _____ ______ ______.
expression of speech
_________ is characterized by a difference in pupil size.
aniscoria
mannitol is a osmotic _______. It is preferred for decreasing ICP.
diuretic
Ropinirole is a drug used to treat _______.
Parkinsons
A client with Meniere’s disease should reduce there ____ intake too reduce fluid.
sodium
Tizanidine is a ______ _______.
muscle relaxant
The highest GCS is ______.
15
serum type and screen in required for ____ products.
plasma
______ and _____ is not an assessment parameter necessary to determine the efficacy of the FFP transfusion.
aPTT / Hematocrit
Ototoxic substances, presbycusis, and DM all cause _____ hearing loss.
sensorineural hearing loss
_____ is a expected finding of migraine headaches.
phonophobia
Decreased mood lability is a therapeutic response to ______.
carbamazepine
Kava and Valerian are herbal supplements that should not be taken with _______.
Lorazepam
______ is an expected finding of Huntington’s disease.
Hallucinations
Carbidopa - levodopa may cause _____ and _______.
hallucinations and dizziness upon standing.
Nasal congestion is indicative of ______ dysreflexia.
autonomic dys.
Prednisone and valacyclovir are prescribed to tx _____ _______.
Bell’s palsy
