Neuro

Question 1

What is cranial nerve 1

Answer 1

Olfactory

Question 2

What is cranial nerve 2?

Answer 2

Optic Visual

Question 3

What is cranial nerve 3?

Answer 3

Oculomotor - Pupil Constriction

Question 4

What is cranial nerve 4?

Answer 4

Trochlear - extraocular

Question 5

What is cranial nerve 9

Answer 5

glossopharyngeal, gag reflex ability to swallow.

Question 6

What are clients instructed to do limit risk of aspiration?

Answer 6

inhale deeply
hold breath tightly to close vocal cords
place food in mouth and swallow holding breath
cough to dispel remaining food
swallow a second time.

Question 7

What is a rare but life-threatening symptom from anaesthetic?

Answer 7

malignant hyperthermia
triggered by anesthetic agents - succinylcholine. leads to muscle contraction and rigidity, high temp, and increased oxygen demand.

Question 8

What is important to do for quad pts?

Answer 8

they are completely or partially experiencing paralysis of upper limbs. Edema may be at the cervical cord leading to airway and oxygen difficulty.

Question 9

What is an epidural hematoma?

Answer 9

Accumulation of blood between the skull bone and dura mater. leads to a
fracture in temporal
rupture or tear in middle meningeal artery

Question 10

What is a clinical presentation of epidural hematoma?

Answer 10

loss of conscious and regain conscious feeling normal called Lucid interval

Question 11

What can lucid interval lead to?

Answer 11

decline in mental function > coma> death

Question 12

What is the treatment for bell’s palsy?

Answer 12

steroids, eye protection

Question 13

what are the signs and symptoms trigeminal neuralgia?

Answer 13

unilateral facial pain when the face is bothered taking hot or cold. talking, or touching.

Question 14

What can the glasgow coma use to determine?

Answer 14

LOC, eye opeining response, verbal response, and motor response.

Question 15

What is the drug Sumatriptan?

Answer 15

It is a serotonin to treat migraine headaches by constricting cranial blood vessels.

Question 16

What is sumatriptan contraindicated for?

Answer 16

Clients with CAD and uncontrolled hypertension.

Question 17

What are thrombolytic agents?

Answer 17

Ending in -plase, to resolve thrombotic events.

Question 18

Which clients are contraindicated for thrombolytic agents

Answer 18

Stroke <3 mnths
Hemorrhage - not period 
anerurysm 
atrovenous malformation 
unctronlled hypertension 
recent trauma
active bleeding.

Question 19

What is autonomic dysreflexia

Answer 19

Spinal injury at T6 higher, when the parasym, cannot counteract SNS stimulation.

Question 20

What are triggers of autonomic dysreflexia?

Answer 20

distended bladder/rectum.

Question 21

What are signs and symptoms of of autonomic dysreflexia?

Answer 21

hypertension, headache, diaphoresis, brady, goose bumps, flushing

Question 22

What is transverse myelitis?

Answer 22

spinal cord inflammation from a viral infection.

Question 23

What are the symptoms of transverse myelitis?

Answer 23

paralysis, urinary retention, bowel incontinence.

Question 24

What are the signs and symptoms of increase ICP in children?

Answer 24

Bulging fontanelles, increased head circumference, sunset eyes.

Question 25

What is the phenytoin range?

Answer 25

10-20

Question 26

What are the s&s of bell's

Answer 26

inability to close the eye tear production alteration flat nasolabial inability to smile

Question 27

What nerve does bell's palsy affect?

Answer 27

C VII

Question 28

What can you check for bacterial meningitits?

Answer 28

Increased ICP seen via, hydrocephalus = bulging fontanels.

Question 29

What is status elipticus?

Answer 29

lifethreatening emergency, a seizure for more than 5 minutes

Question 30

What are s&s of status epilepticus?

Answer 30

grunting, dazed.

Question 31

What med to control seizure?

Answer 31

benzodiazepine

Question 32

What worsens status epilep?

Answer 32

VP shunt

Question 33

What is receptive aphasia?

Answer 33

impairment or loss of language comprehension.

Question 34

How do you talk to someone with aphasia?

Answer 34

yes or no pictures remain calm.

Question 35

What is delirium?

Answer 35

acute or fluctuating change in mental status

Question 36

What are factors precipitating delirium?

Answer 36

``` multiple medications electrolyte hypoxia acute infection sleep deprivation dehydration metabolic disorder Stroke/dementia untreated pain ```

Question 37

What is myelomingocele?

Answer 37

Neutral tube fails to fuse during development

Question 38

Intervention for myelomingocele?

Answer 38

Cover the area with a sterile moist dressing to decrease risk of infection.

Question 39

What are the signs and symptoms of neurogenic shock?

Answer 39

Bradycardia | hypotension

Question 40

Gullian-Barre syndrome?

Answer 40

Is an immune-mediated polyneuropathy

Question 41

s/s of Gullian Barre syndrome?

Answer 41

Ascending muscle paralysis and absence of reflexes.

Question 42

What is the most threating aspect of Gullian Barre syndrome?

Answer 42

Neuromuscle respiratory failure.

Question 43

What is a gold standard for Gullain Barre ?

Answer 43

Bedside forced vital capacity - SPIROMETRY

Question 44

What CNS nerves you evaluate Gullian Barre?

Answer 44

II - Optic III - Oculormotor IV - Trochlear VI - Abducens

Question 45

What are s/s of cerebral aneurysm?

Answer 45

``` Diplopia seizures stiff neck vomiting headache ```