NEURO: NCLEX RN Mastery Review Flashcards
Lumbar Puncture aka Lumbar Tap
1) Needle inserted into?
2) Position for procedure
3) After procedure pt lays in what position? and for how long?
1) Subarchnoid space
2) Lay on side knees flexed to chest, chin touching the knees
3) Pt lays flat of 4-8 hrs depending on MD or hospital protocol
EEG is a graphic recording of?
electrical activity in the brain
A definitive dx of Alzheimer’s requires histopathologic exam but other tests can be run
1) CT shows
2) MRI for
3) PET scan
4) Check this vitamin
1) CT shows brain atrophy
2) MRI for Cerebrovascular disease
3) PET scan metabolic activity of cerebral cortex may confirm early dx
4) Check B12 deficiency
Dysarthria
Difficulty saying words b/c muscles use do to speak have been weakened
Head trauma can cause increase in ICP. A urine output of 400ml/ may indicate ?
diabetes insipidus failure to produce antidiuretic hormone due to damage to the pituitary gland via ICP
TIA IS A WARNING SIGN OF AN IMPENDING __?__
CVA
1) The hypothalamus regulates? (4)
2) Where is it located?
1) body temp, osmolality of body fluids, hunger and satiety
2) Below the thalamus and above the brainstem
Pt with head injury how does nurse monitor hypothalamic function which can occur due to increase ICP
hypo/hyperthermia
SIADH
Diabetes insipidus
What part of the brain regulates HR and RR?
Brainstem
Right sided CVA s/s (3)
Impaired judgement
impulsive
Left side hemiplegia
Left sided CVA s/s
Impaired speech and language and comprehension
Possible expressive receptive and or global aphasia
Infratentorial (approach) (nape of neck) craniotomy post-op position
HOB flat
small pillow under the nape of he pt neck to promote venous return and reduce ICP
Supratentorial (approach) craniotomy post-op position
Elevate HOB 30-45 degrees
