Generalized seizures are characterized by these symptoms.
What are jerking muscle movements, loss of bladder or bowel control, loss of consciousness, stiffened muscles, or apneic episodes?
Cause of an ischemic stroke.
What is a clot or emboli?
An early sign of increased intracranial pressure.
What is restlessness, change in mental status?
This is a classic symptom of meningitis.
What is nuchal rigidity?
Nursing interventions to address the problem of ineffective tissue perfusion.
What are monitor Vital signs, neuro assessment every shift, monitor GCS, elevate HOB 30 degrees, maintain a calm and quiet environment?
Commonly used to treat Parkinson's Disease
What is Carbidopa/Levodopa?
Uncontrolled hypertension is a likely cause of this type of stroke.
What is hemorrhagic?
What is T1 or above?
Assessment findings of Parkinson's Disease.
What are tremors, shuffling gait, masklike face, loss of balance, decreased appetite, bradykinesia?
Example of a patient goal or outcome for altered mobility in a Parkinson's Disease patient.
What is "patient will demonstrate safe use of walker by discharge"? OR "patient will ambulate with assist 3 times a day"
Precautions include: padded side rails, O2 at the bedside, and suction at the bedside.
What are seizure precautions?
Medication class used to treat ischemic stroke.
What is thrombolytics?
Bleeding between the skull and dura space
What is epidural hemorrhage or hematoma?
This immunologic disease affects the central nervous system
What is Multiple Sclerosis?
True or False: a medical diagnosis may be used as the etiology in a NANDA nursing diagnosis.
What is FALSE? (etiology must be a basic patho or cause of the patient problem)
This seizure stage follows the active stage.
What is post ictal stage?
True or False: Headache and facial droop are the only symptoms of a stroke.
What is false? Other symptoms include hemiparesis, slurred speech, confusion, weakness. vision changes, loss of balance, loss of sensation in limbs
Possible complications of long-term paralysis.
What are pressure ulcers, pneumonia, DVT?
Assessment findings include muscle weakness, loss of coordination, dysphagia.
What is Amyotrophic Lateral Sclerosis? ("a"=absence, "myo"= muscle, "trophic" = nourishment)
A patient with a traumatic spinal cord injury at C2 presents to the ED, identify the priority action.
What is Airway? (one notes that an injury at C2 may cause respiratory distress and airway must be prioritized. - application of clinical judgement model, analyzing cues & prioritizing hypotheses are used here)
Commonly used medication to treat blood pressure in stroke patients.
What is hydralazine (antihypertensive)?
Dysphagia following a stroke may lead to this complication.
What is aspiration?
Onset of symptoms are gradual in this type of brain injury.
What is subdural hematoma or hemorrhage?
Gabapentin (Neurontin) is used to treat this neurodegenerative disorder.
What is Multiple Sclerosis?
Format for nursing diagnosis development
What is PES? (Problem, Etiology, Symptoms)