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nurse 102 > Neuro > Flashcards

Neuro Flashcards

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1
Q

Manifestations of cranial nerve VIII damage

A

Vertigo
hearing loss
equilibrium

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2
Q

Nursing interventions for increased ICP

A 
HOB 30-45*
neck in neutral
no hip flexion
head midline
monitor LOC
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3
Q

clinical manifestation of early increased ICP

A

Diplopia
Personality change
headache
Change in LOC

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4
Q

with increased ICP after HOB what do next

A

neck neutral
head midline
monitor VS

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5
Q

types of foods for cranial nerve V damage

A

soft
no straw
not hot/cold

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6
Q

priority nrsg dx for MG

A

Respiratory

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7
Q

dietary interventions for pt w CVA and L side weakness

A 
SLP eval
no straw
assess ability to swallow
pocketing food?
tuck chin
HOB up
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8
Q

Diagnostic test for hemiplegia

A

CT/MRI

Physical assessment

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9
Q

interventions for CN II damage

A

fall risk/injury

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10
Q

increased ICP what degree

A

30-45*

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11
Q

Highest priorities for SCI

A

airway management

head/neck alignment

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12
Q

position to avoid with cerebral edema

A

hip/neck flexion

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13
Q

first 72 hours after CVA

A

HOB-30
head midline
neck neutral

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14
Q

loss of proprioception

A

inability to know position of body without looking

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15
Q

first time eating post CVA

A

check gag reflex
assess ability to swallow
no straw

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16
Q

before CT check for

A

Allergy to shellfish/iodine

no metal

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17
Q

Post CT nurse should

A

encourage fluids

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18
Q

personality changes after right CVA

A

impaired judgment
impulsive
short attention span
deny-minimize problems

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19
Q

nurse assessments for traumatic head injury

A

Airway
LOC
Battles sign
PERRLA

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20
Q

pt with BP 240/120 interventions

A

HOB 45*
Recheck BP
loosen tight clothing
bladder distention?

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21
Q

homonymous hemianopsia

A

needs to turn head to see objects on affected side

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22
Q

discharge teaching for MS pt

A

take meds as ordered
exercise as tolerated
prevent skin breakdown
no hot baths/showers

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23
Q

mechanical ventilation with SCI above what level?

A

C3

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24
Q

SCI and BP of 230/100

A

sitting position
urine retention?
fecal impaction?
noxious stimuli

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25
Q

Side effects of anticholinergic medications

A

Blurred vision
constipation
dry mucous membranes

26
Q

Levodopa is most effective when taken

A

food

antacids

27
Q

Side effect of apomorphine

A

nausea
orthostatic hypotension
chewing motions
confusion/ hallucinations

28
Q

clinical manifestations of acute MS exacerbation

A

visual disturbances
motor impairment increase
parathesia

29
Q

cautions when using Beta Blockers

A

Respiratory status

30
Q

how to prevent contractures

A

ROM

splinting/braces

31
Q

Cushings triad

A

Bradycardia
increased sys BP
wide pule pressure

WBS

32
Q

seizure meds for migraines

A

Topamax/Topiramate

Valproic acid

33
Q

diabetic taking Hydantoin

A

can reduce the effectiveness of metformin
monitor BGL closely
hypergycemia

34
Q

when repositioning pt with ICP have pt…

A

Exhale while turning

35
Q

before anticholinergic meds must be screened for

A

glaucoma

MG

36
Q

basil skull fx and fluid from nose. look for

A

CSF
protien
glucose
concentric circles

37
Q

Carbamazepine is used for what disorders

A

Seizures
Bipolar
Trigeminal nerve damage

38
Q

clinical manifestations of bacterial meningitis

A

headache
still neck
fever

39
Q

Most difficult aspect of ALS

A

cognition intact

watch their body die

40
Q

drug test for Myasthenia Gravis

A

endophonium

41
Q

S/S of altered LOC

A 
change in cognition
change in sensory response
restless
lethargic
slurred speech
personality changes
42
Q

long term levodopa use manifestations?

A

twitch
tongue roll
restless

43
Q

what nurse do for depressed parkinsons pt?

A

theraputic communication

give supportive care

44
Q

type of room for meningitis pt?

A

Private
close to nurse station
3 days
24* after ABT started

45
Q

positions to avoid with ICP

A

supine
prone
neck turned
head not midline

46
Q

interventions for seizure

A

secure airway
protect head
side lying

47
Q

why hyperventilation with increased ICP?

A

Reduces cerebral edema.

48
Q

pt with skull fx and increased ICP shows?

A 
Battle sign
raccoon eyes
papilledema
nausea/vomiting
nasal drainage
49
Q

what nurse to for pt with angina prescribed Imitrex

A

Call HCP

increases chance of MI

50
Q

post lumbar laminectomy nurse call Dr if…

A

hasnt voided
newly incontinent
numbness in legs

51
Q

braces/splints reduce?

A

contractures

52
Q

clinical manifestations of MS

A 
numbness/weakness in 1+ limbs
loss coordination
unsteady gait
slurred speech
incontinence
diplopia
blurred vision
53
Q

check what for nerve X reflex?

A

Gag reflex

54
Q

how turn pt after laminectomy?

A

logroll

55
Q

priority assessment for post cervical SCI

A

ABCs

56
Q

2 main functions of CSF

A

protection and cushioning of the brain and spinal cord

shock absorber

57
Q

when testing mental status is checking what function?

A

cognitive/cerebral

58
Q

when should pt take Benzotropine

A

qHS

59
Q

nursing dx for confused restless pt

A

risk for falls

60
Q

Adverse reactions to Hyantoins

A

Hyperglycemia
excessive gum tissure growth
blurred vision
insomnia

61
Q

flushed face, throbbing headache, and increased BP are s/s of

A

Autonomic Dysreflexia

nurse 102 (13 decks)

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