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neurological part 1
nursing 165 mtc neurological
Question | Answer |
---|---|
What may be the first obvious sign of brain lesion? | seizure |
What is a common manifestation of neurologic disease? | muscle weakness |
What are the 5 part of neurological assessment? | Glasgow Coma Scale (Motor system, Sensory system, reflexes) Cerebral Function, Cranial Nerves |
Glasgow Coma Scale Eye opening includes | Spontaneous = 4, To Sound = 3, To Pain = 2, Never = 1 |
GCS Motor response include | Obeys Commands = 6, Localizes Pain = 5, Normal Flexion (withdrawal) = 4, Abnormal Flexion = 3, Extension = 2, None=1 |
GCS Verbral response include | Oriented = 5, Conversation = confused = 4, Speech – inappropriate = 3, Sounds – incomprehensible = 2, No response = 1 |
What is FIRST indicator of neuro decline? | Level of consciousness |
Agnosia means | inability to interpret or recognize objects seen through the special senses |
Aphasia means | language impairment including speaking, writing, reading, or comprehension |
Cranial Nerves I. | Olfactory: Sensory: Smell |
Cranial Nerves II. | Optic: Sensory: Vision |
Cranial Nerves III. | Oculomotor: Motor |
Cranial Nerves IV. | Trochlear: Motor: Eye Movement |
Cranial Nerves V. | Trigeminal: Both: Skin sensation |
Cranial Nerves VI. | Abducens: Motor: Eye Movement |
Cranial Nerves VII. | Facial: Both: |
Cranial Nerves VIII. | Acoustic/Vestibulocochlear : Sensory |
Cranial Nerves IX. | Glossopharyngeal: Both |
Cranial Nerves X. | Vagus: Both |
Cranial Nerves XI. | Accessory (Spinal): Motor |
Cranial Nerves XII. | Hypoglossal: Motor |
Muscle Tone Spasticity | Increased muscle tone |
Muscle Tone Rigidity | Resistance to passive stretch |
Muscle Tone Flaccidity | Lack of muscle tone (limp, floppy) |
Ataxia is | incoordination of voluntary muscle action |
Cerebrospinal Fluid (CSF) is | colorless |
Cerebrospinal Fluid (CSF) that is blood tinged means? | subarachnoid hemorrhage |
cerebrospinal fluid normal pressure is | 10 to 15 mm Hg |
Glucose in cerebrospinal fluid is | 50-75 mg/dL |
Lumbar puncture complications are | headache, Brain herniation Spinal epidural abscess Spinal epidural hematoma Meningitis Temporary voiding problems Slight elevation of temperature Backache/Spasms Neck stiffness |
What can the patient do for LP complication of a headache | bedrest, lay for 3 hours |
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