MEDSURG 2 EXAM #1

Question 1

NO BRAIN TUMORS, BRAIN ABSCESS

Question 2

1. Compare the functions of neurons and glial cells.

Question 3

2. Explain the anatomic location and functions of the cerebrum, brainstem, cerebellum, spinal cord, peripheral nerves, and cerebrospinal fluid.

Question 4

3. Identify the major arteries supplying the brain.

Question 5

4. Describe the functions of the 12 cranial nerves.

Question 6

5. Compare the functions of the 2 divisions of the autonomic nervous system.

Question 7

6. Link the age-related changes in the neurologic system to the differences in assessment findings.

Question 8

7. Obtain significant subjective and objective data related to the nervous system from a patient.

Question 9

8. Perform a physical assessment of the nervous system using the appropriate techniques.

Question 10

9. Discern normal from abnormal findings of a physical assessment of the nervous system.

Question 11

10. Describe the purpose, significance of results, and nursing responsibilities related to diagnostic studies of the nervous system.

Question 12

11. Explain the mechanisms that maintain normal intracranial pressure.

Question 13

12. Describe the common etiologies, clinical manifestations, and inter-professional care of the patient with increased intracranial pressure.

Question 14

13. Describe the nursing management of the patient with increased intracranial pressure.

Question 15

14. Compare types of head injury by mechanism of injury and clinical manifestations.

Question 16

15. Describe the interprofessional and nursing management of the patient with a head injury.

Question 17

16. Compare the types, clinical manifestations, and interprofessional care of patients with brain tumors.

Question 18

17. Discuss the nursing management of the patient with a brain tumor.

Question 19

18. Describe the nursing management of the patient undergoing cranial surgery.

Question 20

19. Distinguish among the primary causes and interprofessional and nursing management of brain abscess, meningitis, and encephalitis.

Question 21

1. Describe the incidence of and risk factors for stroke.

Question 22

2. Explain mechanisms that affect cerebral blood flow.

Question 23

Types of strokes

Answer 23

Thrombotic
— causes: HTN, DM
Embolic
— causes: atrial fibrillation
— Tx: TPA (clot buster)
Hemorrhagic

Question 24

1. Stroke to needle time is _____
2. Stroke S/Sx normally last for how long?

Answer 24

1. 6 minutes
2. 1 hour

Question 25

3. Compare and contrast the etiology and pathophysiology of ischemic and hemorrhagic strokes.

Question 26

4. Correlate the clinical manifestations of stroke with the underlying pathophysiology.

Question 27

5. Identify diagnostic studies done for patients with strokes.

Question 28

6. Distinguish the interprofessional care for patients with ischemic strokes and hemorrhagic strokes.

Question 29

7. Describe the acute nursing management of a patient with a stroke.

Question 30

8. Describe the rehabilitative nursing management of a patient with a stroke.

Question 31

9. Explain the psychosocial impact of a stroke on the patient, caregiver, and family.

Question 32

10. Compare the etiology, clinical manifestations, and interprofessional and nursing management for types of primary headaches.

Answer 32

— What are your triggers?
— What led up to it?
— Was there a fall/other injury?
— Headache related to something else going on?

Question 33

12. (no 11) Describe the clinical manifestations, diagnostic studies, and interprofessional and nursing management of seizure disorder and restless legs syndrome.

Question 34

13. Discern the clinical manifestations and nursing and interprofessional management of multiple sclerosis, Parkinson disease, myasthenia gravis, amyotrophic lateral sclerosis, and Huntington disease.

Question 35

14. Explain the potential impact of chronic neurologic disease on well-being.

Question 36

15. Outline the major goals of nursing care for the patient with a chronic, progressive neurologic disease.