Neurologic Diagnostic Procedures

Question 1

Provides radiographic visualization of the cerebral blood vessels - detects defects, narrowing, or obstruction of arteries or blood vessels in brain

Answer 1

Cerebral angiogram

Question 2

Uses for cerebral angiogram

Answer 2

Assess blood flow to and within brain
Identify aneurysm
Define vascularity of tumors
Can be used therapeutically to treat blood clots or administer chemotherapy

Question 3

provides cross-sectional images of cranial cavity

Answer 3

CT scan

Question 4

Indications for CT scan

Answer 4

Identify tumors and infarctions
Detect abnormalities
Monitor response to treatment
Guide needles for biopsies

Question 5

Prior to all procedures with radiation exposure, what should you do?

Answer 5

Assess for shellfish allergy
Assess for pregnancy
Assess kidney function

Question 6

Assesses electrical activity of the brain and is used to determine if there are abnormalities in brain wave patterns

Answer 6

EEG

Question 7

Indications for EEG

Answer 7

Identify and determine seizure activity

Detecting sleep disorders and behavioral changes

Question 8

Indications for Glasgow Coma Scale

Answer 8

Determine changes in LOC in clients with head injuries, space occupying lesions or cerebral infarctions, and encephalitis

Question 9

Glasgow coma scale score less than 8 associated with

Answer 9

Severe head injury and coma

Question 10

Glasgow coma scale score of 9-12 indicates

Answer 10

Moderate head injury

Question 11

Glawgow coma scale greater than 13 reflects

Answer 11

Minor head trauma

Question 12

Best possible score for glasgow coma scale

Answer 12

15

Question 13

Areas to assess for Glasgow Coma Scale

Answer 13

Eye opening, ranging from 4-1
Verbal, ranging from 5 -1
Motor, ranging from 6-1

Question 14

Device inserted into cranial cavity that records pressure and is connected to a monitor that shows a picture of pressure waveforms

Answer 14

ICP monitoring

Question 15

Indications for ICP monitoring

Answer 15

Early identification
Treatment of increased iCP
Candidates include clients who are comatose or have GCS scores of 8

Question 16

Sx increased ICP

Answer 16

Severe headache
Deteriorating LOC
Restlessness
Irritability
Dilated or pinpoint pupils
Slowness to react
Alteration in breathing pattern
Deterioration in motor function
Abnormal posturing

Question 17

Normal ICP level

Answer 17

10-15 mmHg