Grab Bag
Wrapping damp gauze soaked in what solution is the best method to clean secretion-encrusted pins of a Halo Traction device?
Sterile Normal Saline
Name 3 factors that affect cerebral blood flow.
What is...blood pressure, cardiac output, blood viscosity.
Temporal Lobe
Speech reception, auditory perception, long-term memory
Signs of increased ICP
Vomiting, ataxia, nausea and headache
Functions are taste and facial expression
CN VII; Facial
This test is the "gold standard" to diagnose spinal cord tumors
MRI
This test is used to diagnose Myasthenia Gravis
Tensilon Test
Initial nursing interventions for a patient suspected of having an increased intracranial pressure after a motor vehicle collision.
What is...ensure patent airway, stabilize cervical spine, elevate HOB (30-45 degrees), provide oxygen via non-rebreather mask, monitor vitals, frequent neuro checks(LOC), PERRLA, check for CSF leakage, anticipate physician orders of mannitol, hypertonic IV fluids, phenytoin, cimetidine, CT scan
List 4 warning signs of stroke.
What are...sudden severe HA, numbness, weakness, paralysis of face, arm, or leg (especially one side), sudden confusion, difficult or slurred speech, difficulty understanding, blurred vision (in one or both eyes), dizziness, trouble walking, loss of coordination.
Occipital Lobe
Process visual information; perception of color and shapes
Guillain-Barre Syndrome is an excess immune response to infection which affects what part of the neuron?
Myelin sheath
These two cranial nerves do not arise in the brain
CN I; Olfactory and CN II; Optic
What diagnostic evaluation is used to determine a presumptive diagnosis of Alzheimer's Disease?
A history & physical
A patient with Parkinson’s disease is prescribed carbidopa/levodopa to treat which clinical manifestation?
Tremors
What physical steps can the nurse take to help reduce increased intracranial pressure (ICP)?
Keep the patient's head in a neutral position and maintain the head of the bed in high Fowler's position (60 degrees)
Frontal Lobe
Motor Movement and Personality
When teaching a patient about conservative treatment for herniated disc, what therapies will be included?
Prescribed pain medications, planned moderate exercise, avoiding painful positions or situations, and reduction of excess body weight
The nurse may identify a problem with this cranial nerve by noticing the patient's uncombed hair
CN V; Trigeminal
In this form of Multiple Sclerosis, symptoms appear for a short period of time, resolve, then reappear
Relapsing-Remitting
The nurse would explain the pathophysiology of which disorder by saying, "After an infection your immune system created antibodies that affect the covering of the nerves."?
Guillain-Barre Syndrome
Results from bleeding into brain tissue or the subarachnoid space / ventricles.
What is....hemorrhagic stroke (can be intracerebral or subarachnoid)?
Medulla Oblongata
Heart rate, blood pressure, regulation of the rhythm and depth of breathing, vomiting, coughing, sneezing, and swallowing control
These types of medications are appropriate for a patient who has had an ischemic stroke
Antiplatelet aggregators, Lipid reducers, antihypertensives, and anticoagulants
These three cranial nerves are involved in eye movements
CN III; Oculomotor, CN IV; Trochlear, and CN VI; Abducens
What is the appropriate nursing action for a patient with suspected traumatic brain injury and clear fluid leaking from the nose?
Collect a sample of the fluid on a gauze pad
"Flight-or-fight" describes the actions of which portion of the peripheral nervous system?
Sympathetic
Diagnosis of stroke (including extent of involvement) is accomplished with these tools.
What are...CT scan, CT angiography, MRI, MRA, CT/MRI perfusion & diffusion imaging.
Parietal Lobe
Sensation interpretation and perception; spatial relationships such as body position; integration of sensory input.
How is CPP (Cerebral Perfusion Pressure) calculated?
CPP = MAP (Mean Arterial Pressure) - ICP
This cranial nerve allows you to say "I don't know" without speaking
CN X; Accessory
This is the appropriate treatment for a subarachnoid hemorrhage caused by a cerebral aneurysm that has a wide neck and tortuous vascular anatomy.
Aneurysm clipping
"Rest-and digest" describes the actions of which portion of the peripheral nervous system?
Parasympathetic