Neuro Assessment Flashcards

1
Q

What are 4 things to consider when performing a neuro exam?

A

LOC
Movement
Sensation
Reflexes

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2
Q

The Glasgow Coma scale has 3 patient responses. What are they?

A

Eye opening
Verbal response
Motor response

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3
Q

Under what score is a coma

A

8

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4
Q

How many points does a eye opening response have

A

1-4

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5
Q

How many points does a verbal response score have?

A

1-5

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6
Q

How many points does a motor response score have?

A

1-6

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7
Q

What needs to happen for sensation assessment to be performed?

A

The patient needs to be conscious

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8
Q

What is a light touch assessment?

A

Moving fingertips slowly up and down the body

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9
Q

What is superficial pain assessment?

A

Using a sharp and Dull object and telling the patient to differentiate the two

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10
Q

What is proprioception?

A

The moving of fingers and toes in different directions, and telling the patient to tell you where it is pointed

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11
Q

What needs to happen for motor assessment to take place?

A

Patient needs to be conscious!

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12
Q

What are some characteristics of a motor assessment?

A

Telling the patient to flex arms, squeeze fingers, and telling them to flex and extend their feet against your hand

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13
Q

What are two things that are a noxious stimulant to a patient who is unconscious

A

Pressing down on fingers and toes, and applying a sternal rub

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14
Q

Decerebrate posture

A

Straight arms and legs
toes downward
arched head and neck

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15
Q

Decorticate posture

A

Arms stiff
Legs bent out
Clenched wrists
Bent fingers pressed toward core

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16
Q

What are three parts of the neurological system?

A

Brain
Spinal cord
Nerves

17
Q

What are two kinds of nerves?

A

Cranial and spinal

18
Q

How many vertebrae are there in the spinal cord?

A

33

19
Q

What five spinal cord sections are there

A

Cervical -7
Thoracic -12
Lumbar -5
Sacral -5
Coccyx -4 fused

20
Q

How many pairs of cranial nerves are there?

A

12

21
Q

How many pairs of spinal nerves are there

A

31

22
Q

What happens when there’s a disruption of sensory nerves?

A

Loss of sensation, including numbness, tingling

23
Q

What happens when there’s a disruption of motor nerves?

A

Lots of movement, including paraplegia, becoming paralyzed

24
Q

What is the name of the system that comprises the brain and spinal cord?

A

The central nervous system

25
Q

What is the name of the system that comprises the nerves?

A

The peripheral nervous system

26
Q

There are two parts of the peripheral nervous system what are they?

A

The autonomic nervous system and the somatic nervous system

27
Q

What processes are affected by the neurological system? There are six.

Remember MMDCMR

A

Memory
Mental status
Discrimination
Coordination
Movement
Reflexes

28
Q

What are the six main areas affected by neurological issue?

Remember VBSHFM

A

Vision
Balance
Sensation
Head/brain
Facial function
Muscle control

29
Q

“what did you eat for breakfast?”

This is what kind of memory.

A

Recent memory

30
Q

Recent memory problems can result in what kind of conditions?

A

Delirium
Dementia

31
Q

Discrimination: graphesthesia

A

Asking the patient to close their eyes and using a blunt instrument to write a letter on the patient’s palm. Then asking the patient to tell the nurse the letter.

32
Q

What is gait?

A

How someone walks

33
Q

What is a negative Babinski reflex

A

Toes bend downward (this is good)

34
Q

What is a positive Babinski reflex?

A

Toes bend upward (this is bad)

35
Q

What is a heels to shin assessment?

A

From any position, asking the patient to run the right foot down there left shin, then repeat on the other side

36
Q

What is a finger to nose assessment?

A

Asking the patient to touch their nose. Then the nurse moving his or her finger to various points in from the patient’s face while they continue to touch their finger.