Neuro

Question 1

Manifestations of cranial nerve VIII damage

Answer 1

Vertigo
hearing loss
equilibrium

Question 2

Nursing interventions for increased ICP

Answer 2

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

Question 3

clinical manifestation of early increased ICP

Answer 3

Diplopia
Personality change
headache
Change in LOC

Question 4

with increased ICP after HOB what do next

Answer 4

neck neutral
head midline
monitor VS

Question 5

types of foods for cranial nerve V damage

Answer 5

soft
no straw
not hot/cold

Question 6

priority nrsg dx for MG

Answer 6

Respiratory

Question 7

dietary interventions for pt w CVA and L side weakness

Answer 7

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

Question 8

Diagnostic test for hemiplegia

Answer 8

CT/MRI

Physical assessment

Question 9

interventions for CN II damage

Answer 9

fall risk/injury

Question 10

increased ICP what degree

Answer 10

30-45*

Question 11

Highest priorities for SCI

Answer 11

airway management

head/neck alignment

Question 12

position to avoid with cerebral edema

Answer 12

hip/neck flexion

Question 13

first 72 hours after CVA

Answer 13

HOB-30
head midline
neck neutral

Question 14

loss of proprioception

Answer 14

inability to know position of body without looking

Question 15

first time eating post CVA

Answer 15

check gag reflex
assess ability to swallow
no straw

Question 16

before CT check for

Answer 16

Allergy to shellfish/iodine

no metal

Question 17

Post CT nurse should

Answer 17

encourage fluids

Question 18

personality changes after right CVA

Answer 18

impaired judgment
impulsive
short attention span
deny-minimize problems

Question 19

nurse assessments for traumatic head injury

Answer 19

Airway
LOC
Battles sign
PERRLA

Question 20

pt with BP 240/120 interventions

Answer 20

HOB 45*
Recheck BP
loosen tight clothing
bladder distention?

Question 21

homonymous hemianopsia

Answer 21

needs to turn head to see objects on affected side

Question 22

discharge teaching for MS pt

Answer 22

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

Question 23

mechanical ventilation with SCI above what level?

Answer 23

C3

Question 24

SCI and BP of 230/100

Answer 24

sitting position
urine retention?
fecal impaction?
noxious stimuli

Question 25

Side effects of anticholinergic medications

Answer 25

Blurred vision constipation dry mucous membranes

Question 26

Levodopa is most effective when taken

Answer 26

food | antacids

Question 27

Side effect of apomorphine

Answer 27

nausea orthostatic hypotension chewing motions confusion/ hallucinations

Question 28

clinical manifestations of acute MS exacerbation

Answer 28

visual disturbances motor impairment increase parathesia

Question 29

cautions when using Beta Blockers

Answer 29

Respiratory status

Question 30

how to prevent contractures

Answer 30

ROM | splinting/braces

Question 31

Cushings triad

Answer 31

Bradycardia increased sys BP wide pule pressure WBS

Question 32

seizure meds for migraines

Answer 32

Topamax/Topiramate | Valproic acid

Question 33

diabetic taking Hydantoin

Answer 33

can reduce the effectiveness of metformin monitor BGL closely hypergycemia

Question 34

when repositioning pt with ICP have pt...

Answer 34

Exhale while turning

Question 35

before anticholinergic meds must be screened for

Answer 35

glaucoma | MG

Question 36

basil skull fx and fluid from nose. look for

Answer 36

CSF protien glucose concentric circles

Question 37

Carbamazepine is used for what disorders

Answer 37

Seizures Bipolar Trigeminal nerve damage

Question 38

clinical manifestations of bacterial meningitis

Answer 38

headache still neck fever

Question 39

Most difficult aspect of ALS

Answer 39

cognition intact | watch their body die

Question 40

drug test for Myasthenia Gravis

Answer 40

endophonium

Question 41

S/S of altered LOC

Answer 41

``` change in cognition change in sensory response restless lethargic slurred speech personality changes ```

Question 42

long term levodopa use manifestations?

Answer 42

twitch tongue roll restless

Question 43

what nurse do for depressed parkinsons pt?

Answer 43

theraputic communication | give supportive care

Question 44

type of room for meningitis pt?

Answer 44

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

Question 45

positions to avoid with ICP

Answer 45

supine prone neck turned head not midline

Question 46

interventions for seizure

Answer 46

secure airway protect head side lying

Question 47

why hyperventilation with increased ICP?

Answer 47

Reduces cerebral edema.

Question 48

pt with skull fx and increased ICP shows?

Answer 48

``` Battle sign raccoon eyes papilledema nausea/vomiting nasal drainage ```

Question 49

what nurse to for pt with angina prescribed Imitrex

Answer 49

Call HCP | increases chance of MI

Question 50

post lumbar laminectomy nurse call Dr if...

Answer 50

hasnt voided newly incontinent numbness in legs

Question 51

braces/splints reduce?

Answer 51

contractures

Question 52

clinical manifestations of MS

Answer 52

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

Question 53

check what for nerve X reflex?

Answer 53

Gag reflex

Question 54

how turn pt after laminectomy?

Answer 54

logroll

Question 55

priority assessment for post cervical SCI

Answer 55

ABCs

Question 56

2 main functions of CSF

Answer 56

protection and cushioning of the brain and spinal cord | shock absorber

Question 57

when testing mental status is checking what function?

Answer 57

cognitive/cerebral

Question 58

when should pt take Benzotropine

Answer 58

qHS

Question 59

nursing dx for confused restless pt

Answer 59

risk for falls

Question 60

Adverse reactions to Hyantoins

Answer 60

Hyperglycemia excessive gum tissure growth blurred vision insomnia

Question 61

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

Answer 61

Autonomic Dysreflexia