NEURO ONCOLOGIC AND DENGNERATIVE

Question 1

Akathisia

Answer 1

restless need to move around restless leg

Question 2

Brain Tumor

Answer 2

location and size lesion
s/s: localized and generlized neuro , increased ICP, headaches, vomiting , visual disturbances and seizures if pressingon pitruity (hormonal) vertigo , tinnuitis

Question 3

Diagnostic : brain tumor

Answer 3

EEG- brain waves
CT scan, cytologic
biopsy

Question 4

Brain Tumor: Medical MANAGMENT

Answer 4

surgery- try to get tumor without making tumor worse, give some relieve , craniectomy , transspheondial sterotacic
Radiation - common for may brain tumors
Chemo -

Question 5

Sterotacic

Answer 5

computer guided radiation

Question 6

Spinal cord tumors

Answer 6

intra : within cord
Extramedllay- outside cord
s/s: pain weakness los of motor function loss of reflexes loss of sensation
Relieve compression - Dexamethsone- combined with radiation

Question 7

Assesment

Answer 7

baseline neuro, bowel bladder function , respiratory symptoms

Question 8

Nursing Dx

Answer 8

self care deficit
imbalanced nutrition
anxiety

Question 9

Interventions

Answer 9

Encourage independence
measure improve cognitive function
express fears and concerns , let people visit

Question 10

Improving Nutrition

Answer 10

oral hygiene before meals , plan meals when well rested watch I&O and daily weight

Question 11

Parkinson’s Disease

Answer 11

increase dopmaine
s/s: tremor, rigidity slow or absence of movement postural instability losing some muscle control
Autonomic : leaky drooling flushed ORTHOSTATIC HYPOTENSION
dysphagia and very prone to anxiey depression and eventually hallucinations
not enough dopamine and acyecholine goes up in order to tx you have to give meds increase dopamine or decrease acychoiline

Question 12

Parkinson’s Disease : Medical Management

Answer 12

Levadopa

surgical procedure: sterotacic procdres

Question 13

Huntington’s Disease

Answer 13

hereditary chronic progressive , autosomal dominate trait 20’s and 30’s
premature cell death of cells that are controlling movement and thinking cognition
BED BOUND - aspiration wounds

Question 14

choreiform movement

Answer 14

core spacicidy core (spasm)

Question 15

Alzheimer’s Disease

Answer 15

chronic progressive degenerative brain disorder brain shrinks oxidative stress play a role
RECENT MEMORY ISSUE(don’t know what they have for breakfast) more anxious and irritability

Question 16

ALS (amyotropic lateral sclerosis)

Answer 16

Lou Gehring disease loss of motor neurons anterior horn of the spinal cord
s/s: progressive weakness and atrophy of muscles cramps twitiching and lack of coordination spacitiy deep tendon reflex , diffculty speaking swalloing then breathing ISSUES WITH CONTROL OVER WHOLE BODY

Question 17

MUSCULAR DYSTROPHIES

Answer 17

MUSCLE- sex linked inheriented
muscle wasting abnormla elevaltion in muscle enyzme
CK -B - muscle damage enyzme elevated as atrophy elelvate issus with mobility breathing swalloing digestion

Question 18

Degenerative disc disease

Answer 18

low back pain - postural related for years wear and tear
Radiculopathy produce pain
compression of nerves issues with sensation and movement below the site of injury below legs
animmflammatory (typical older pts)

Question 19

POST POLIO SYNDROME

Answer 19

s/s: new musculoskeletal weakness

no treatment

Question 20

Parkinson’s : Nursing Process

Answer 20

can they do ADL IDL( things have to do to function pay your bills balance check book)
fall risk assessment (balance issues)
Complications: skin integrity issues

Question 21

Parkinson’s: Diagnosis

Answer 21

impaired mobility 
self care deficis 
imbalanced nutrition 
constipation 
impaired verbal communication
Risk for injury  
KEEP SAFE MOVING ADN FUNCTIONAL

Question 22

Parkinson’s: improved mobility

Answer 22

daily excersis 
ROM 
postural exercise 
no FLIP FLOPS 
frequent rest periods

Question 23

Parkinson’s : Interventions

Answer 23

self care ability: adaptive devices , OT , PT

supporting coping : Socialize

Question 24

Cervical Discectomy

Answer 24

assessing paresthesia limited movement and dimished function to the neck asses for muscle tone and any tenderness in neck ,

Question 25

Cervical Discectomy : complications

Answer 25

ACUTE PAIN,
Complications: hematoma at neck going to compress spinal cord having issues with breathing
relieve pain increase mobility

Question 26

Interventions

Answer 26

relieve pain and improve mobility