Seizures
What are seizure triggers that can induce reoccurring seizures in a patient with a seizure disorder?
What are flashing lights, overwhelming fatigue, overwhelming stress, caffeinated beverages, excessive alcohol?
What would the plan of care be for a patient with a migraine?
What is rest, quiet dark room, Imitrex (or pain medication with vasoconstriction)?
How is meningitis diagnosed?
What is a lumbar puncture?
What is brain herniation? What is the nurses next step if this occurs in the patient?
What is the brain moving out of its anatomical position? Arrange for gift of life/ organ donation.
What is a safety intervention that can be implemented for a clients with moderate AD living at home?
What is place child proof locks on doors to prevent wandering out of the house?
What is Mannitol?
What is an osmotic diuretic that decreases cerebral edema?
What is a priority nursing intervention for a pt with Parkinson's?
What is a swallowing evaluation?
Describe what the CSF of bacterial meningitis looks like?
Describe what the CSF of viral meningitis looks like?
What is cloudy, turbid with decreased glucose levels?
What is clear yellow with normal glucose levels?
What manifestations indicate increased ICP in a patient?
What is decreased LOC, irritability, restlessness, fixed dilated pupils, irregular respirations, bradycardia, arterial hypertension
To help patients with AD that can not sit still for long be able to complete meals and help ensure proper nutrition what is an appropriate nursing intervention?
What is provide finger foods?
List Manifestations if a generalized seizure.
What is BILATERAL jerking arm movements?
What is bradykinesia? Provide an example.
What is slowed movement? Slurred speech.
What is a positive Brudzinski sign?
What is a positive Kernig sign?
What is hips and knees flex when the neck is flexed?
What is unable to extend the leg when the thigh is flexed at the abdomen?
What things are monitored using the four score coma scale? What is not monitored?
What is eye response, motor response, brainstem reflexes, and respirations. Verbal response is not monitored.
List fall prevention interventions for a patient with AD.
What is proper footwear, call bell in reach, remove clutter, adequate lighting, room next to nurse's station, no throw rugs.
If a patient is experiencing a seizure what should the nurse do?
What is loosen the patient's clothing, lower the patient to the floor, move furniture, place patient on their left side, pad head, provide privacy?
List manifestations of Parkinson's
What is drooling, shuffling gait, mask-like expression, bradykinesia, pill-rolling, dysphagia
What are interventions the nurse would perform for a pt with bacterial meningitis.
What is reduce stimuli, private room, droplet isolation, maintain seizure precautions, reduce risks of increased ICP, administer antibiotics?
Which one is priority?
What are possible causes of encephalitis?
What is West Nile virus, HSV, infectious mumps?
What manifestations occur during the sympathetic response?
What is increased heart rate, dilation of bronchioles, decrease in peristalsis, pallor, gooseflesh, diaphoresis?
List prevention interventions for increased ICP.
What is avoid hip flexion, HOB no less than 30 degrees, administer stool softeners, avoid FREQUENT suctioning, administer antiemetics?
A patient is taking pramipexole (Mirapex) what patient education would the nurse provide?
What is taking with meals may reduce nausea, sleep attacks may occur, do not drive?
What is nursing care provided to a client after a lumbar puncture?
What is lie supine for hours, encourage fluids, monitor site and vitals?
Prior to a CT scan what actions should the nurse take?
What is inquire about allergies (iodine), explanation of warm "peeing" sensation, check a renal panel, to report any itching, sob, N/V during scan?
What is autonomic dysreflexia and what should the nurse do if it occurs in a patient?
What is a condition that arises after a spinal cord injury above T6 where the autonomic system has an exaggerated response to noxious stimuli? The nurse should elevate the patient's head above 30 degrees, check BP every 5 minutes, remove restrictive clothing (TEDS), look for noxious stimuli- Foley catheter kinks, fecal impaction, skin bandages ect.