Exam #1

Question 0

Quadriplegia

Answer 0

Paralysis of all four limbs

Question 1

Quadriparesis

Answer 1

Weakness of all four limbs

Question 2

Paraplegia

Answer 2

is an impairment in motor or sensory function of the lower extremities

Question 3

Hemiparesis

Answer 3

is weakness of the entire left or right side of the body

Question 4

Diplopia

Answer 4

commonly known as double vision, is the simultaneous perception of two images of a single object that may be displaced horizontally, vertically, diagonally

Question 5

Dysphagia

Answer 5

is the medical term for the symptom of difficulty in swallowing

Question 6

Expressive Aphasia

Answer 6

is characterized by the loss of the ability to produce language

Question 7

Receptive Aphasia

Answer 7

People with receptive aphasia are unable to understand language in its written or spoken form

Question 8

Glasgow coma scale

Answer 8

neurological scale that aims to give a reliable, objective way of recording the conscious state of a person

the resulting points give a patient a score between 3 (indicating deep unconsciousness) and 14 (normal)
Eye/Verbal/Motor

Question 9

CT Scan/ nursing considerations

Answer 9

No metal
No drinking/eating
Recent illness
Allergies to dye/shellfish
Pregnancy

Question 10

Lumbar Puncture Nursing Interventions

Answer 10

Signed consent 
Empty bladder
Lateral recumbent position
Lay flat for 4-24hrs
Encourage fluids
Headache- NSAIDs

Question 11

MRI nursing considerations

Answer 11

No metal or pacemaker
Admin analgesic/ sedative
Relaxation

Question 12

Increased Intracranial Pressure

Answer 12

⬆️ in brain/blood/CSF
1) Brain trauma 
2) Brain tumor
3)Intracranial hemorrhage
S/S
Restlessness, irritability, ⬇️ in LOC, Hyperventilation, pupil changes, cushing's response.

Question 13

Cushing’s Response

Answer 13

⬆️BP

⬇️Pulse

Question 14

Kernigs sign

Answer 14

Pain in back when moving leg

Question 15

Brudzinskis sign

Answer 15

Pain in back when moving neck

Question 16

Meningitis s/s

Answer 16

Sever headache 
Very high fever
Photophobia
Can't move neck
Petechial rash
N/V

Question 17

Meningitis meds/interventions

Answer 17

Antibiotics 
Antipyretics (fever)
Cooling blanket
Dark, quiet environment 
Analgesics (codeine)
Corticosteroids
Antiemetics (N/V) 
Isolation if contagious.

Question 18

Tension headache vs. migraine

Answer 18

Tension- normal

Migraine- vasoconstriction in brain

Question 19

Tonic/clonic seizures

Answer 19

Loosen clothing
Check time
Turn on side
Administer Diastat

Question 20

Aura

Answer 20

An aura is often the first sign that you are going to have a seizure. 
Visualize something 
Hear something 
Smell something 
Feel different

Question 21

postictal seizure

Answer 21

Recovery phase.
Non-responsive
May appear drunk

Question 22

Diabetes Insipidus

Answer 22

the kidneys are unable to prevent the excretion of water

Question 23

Spinal shock

Answer 23

ABC’s
Don’t move right away.
Support head and neck.

Question 24

C5 injury

Answer 24

Person can raise his or her arms and bend elbows. Likely to have some or total paralysis of wrists, hands, trunk and legs Can speak and use diaphragm, but breathing will be weakened Will need assistance with most activities of daily living, but once in a power wheelchair, can move from one place to another independently

Question 25

Halo Vest

Answer 25

halo-vest is a brace that is used to immobilize and protect the cervical spine and neck after surgery or accident. The halo is a ring that surrounds the head and is attached by pins to the outer portion of the skull.

Question 26

Parkinson's

Answer 26

``` Drooling Constipation Drooling Dysphasia Short, shuffling steps Pin-rolling tremor ```

Question 27

TIA

Answer 27

Mini stroke

Question 28

FAST

Answer 28

Face. Ask the person to smile. Does one side of the face droop? Arms. Ask the person to raise both arms. Does one arm drift downward? Or is one arm unable to raise up? Speech. Ask the person to repeat a simple phrase. Is his or her speech slurred or strange? Time. If you observe any of these signs, call 911 immediately.

Question 29

Thrombotic stroke

Answer 29

A thrombotic stroke occurs when a blood clot (thrombus) forms in one of the arteries that supply blood to your brain

Question 30

Subarachnoid hemorrhage

Answer 30

In a subarachnoid hemorrhage, an artery on or near the surface of your brain bursts and spills into the space between the surface of your brain and your skull. This bleeding is often signaled by a sudden, severe headache.

Question 31

Aneurysm

Answer 31

is a localized, blood-filled balloon-like bulge in the wall of a blood vessel

Question 32

Goals for an intracranial hemorrhage

Answer 32

ABC's

Question 33

Exacerbation period in MS

Answer 33

Also known as flare up or relapse. | New symptoms or worsening of old symptoms.

Question 34

Tensilon Test

Answer 34

The Tensilon test uses the drug Tensilon to diagnose myasthenia gravis. A patient has myasthenia gravis if his or her muscles get stronger after being injected with Tensilon.

Question 35

Myasthenia Gravis

Answer 35

No muscle contraction. Conserve energy Avoid Infection Support groups

Question 36

Emergency ALS

Answer 36

ABCs Pain control Prevention of infection

Question 37

Guillain Barre Syndrome

Answer 37

is a rare disorder in which your body's immune system attacks your nerves. Weakness and tingling in your extremities are usually the first symptoms. Progression of paralysis. Usually happens after viral infection. Either top to bottom or bottom to top. Medical emergency.

Question 38

Trigeminal Neuralgia

Answer 38

Chronic pain/tingling in face. | Anticonvulsants

Question 39

Bells Palsy

Answer 39

Effects facial nerve. | Dropping or paralysis of one side of the face.

Question 40

Thymectomy for MG

Answer 40

Relieve symptoms.

Question 41

Craniotomy

Answer 41

``` Cut open cranium. V/S Neuro checks Corticosteroids Anticonvulsants Pain control ```

Question 42

Vision and CVA

Answer 42

Effects same side of brain effected. Opposite side of body effected. Take into consideration when performing ADLs.