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NGN-NCLEX 2024 > Nervous System Rationales > Flashcards

Nervous System Rationales Flashcards

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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
Q

____ is a adverse response to sumatriptan.

A

Angina

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26
Q

_______ is a first line anticonvulsant.

A

Lorazepam

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27
Q

_____ is not caused by unctrolled HPTN and diabetes.

A

Delirium

28
Q

With ______ there is not an altered level of consciousness.

A

Dementia

29
Q

I client should _____ before a lumbar puncture. To not interrupt the protocol.

A

Void

30
Q

How is a client positioned for a lumbar puncture.

A

Lying on his side in a “C” position.

31
Q

Midazolam causes a decrease in respiratory rate. If the client has ____ _____ they should not take the medication.

A

respiratory acidosis

32
Q

_______ is a significant cause of delirium.

A

Polypharmacy

32
Q

Halo’s sign is an indication of a ______ skull fracture.

A

basilar

33
Q

_____ symptoms can manifest as hypoglycemia. So it’s important to check BG.

A

Stroke

34
Q

Prior to an MRI you should check if the client is ______.

A

claustrophobic

35
Q

When giving IV phenytoin establish _____ monitoring.

A

cardiac

36
Q

With an EEG the client will have _______ placed around their head for a set period of time.

A

Electrodes

37
Q

The brown squared syndrome is an ______ spinal cord injury. Characterized as weakness/paralysis on the same side and sensory loss on the opposite side.

A

incomplete

38
Q

With a hx of A-fib ______ stroke is more likely.

A

ischemic

39
Q

________ is an abnormal response to deep tendon reflex stimulation. characterized by rapid, rhythmic muscle contractions.

A

Clonus

40
Q

prescribed mannitol needs a ______ ______ tubing.

A

filtered intravenous tubing.

41
Q

Lamotrigine is an anti____ drug an mood stabilizer. It is considered to be a first line tx.

A

anti-seizure/ epilepsy

42
Q

Lamotrigine may cause _____.

A

blisters

43
Q

______ toxicity will cause altered mental status and altered speech pattern.

A

Benzodiazepine

44
Q

Bacterial Meningitis is _______ precaution so you don’t need to worry about closing the door and negative airflow.

A

droplet precaution

45
Q

Before a lumbar puncture _______ are necessary because a potential contraindication would be needed.

A

Lab work (PT/INR)

46
Q

Ceftriaxone is an _____ essential in the tx of bacterial meningitis.

A

antibiotic (admin immediately after cultures / LP are collected)

47
Q

valproate, topiramate, and phenytoin are _______ seizure meds.

A

secondary

48
Q

______ ______ is associated with lesions of the medulla or lower pons,

A

cluster breathing

49
Q

_______ is the best position would prevent the client from developing foot drop.

A

dorsiflexion

50
Q

Broca’s area in the frontal lobe controls the _____ ______ ______.

A

expression of speech

51
Q

_________ is characterized by a difference in pupil size.

A

aniscoria

52
Q

mannitol is a osmotic _______. It is preferred for decreasing ICP.

A

diuretic

53
Q

Ropinirole is a drug used to treat _______.

A

Parkinsons

54
Q

A client with Meniere’s disease should reduce there ____ intake too reduce fluid.

A

sodium

55
Q

Tizanidine is a ______ _______.

A

muscle relaxant

56
Q

The highest GCS is ______.

A

15

57
Q

serum type and screen in required for ____ products.

A

plasma

58
Q

______ and _____ is not an assessment parameter necessary to determine the efficacy of the FFP transfusion.

A

aPTT / Hematocrit

59
Q

Ototoxic substances, presbycusis, and DM all cause _____ hearing loss.

A

sensorineural hearing loss

60
Q

_____ is a expected finding of migraine headaches.

A

phonophobia

61
Q

Decreased mood lability is a therapeutic response to ______.

A

carbamazepine

62
Q

Kava and Valerian are herbal supplements that should not be taken with _______.

A

Lorazepam

63
Q

______ is an expected finding of Huntington’s disease.

A

Hallucinations

64
Q

Carbidopa - levodopa may cause _____ and _______.

A

hallucinations and dizziness upon standing.

65
Q

Nasal congestion is indicative of ______ dysreflexia.

A

autonomic dys.

66
Q

Prednisone and valacyclovir are prescribed to tx _____ _______.

A

Bell’s palsy

NGN-NCLEX 2024 (63 decks)

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