Neuro Assessment
What is the priority nursing intervention for a client with signs of meningitis?
Place on droplet precautions and elevate HOB.
How to assist an Alzheimer's patient with memory issues?
Use memory aids and routines.
What action reduces ICP in a client with a brain abscess?
Elevate HOB 30° and keep neck midline.
How to help a client manage pain from neuropathy?
Discuss medication adjustments with provider.
What is the first nursing action in myasthenic crisis?
Assess respiratory function.
Primary intervention for AVM vasospasm monitoring?
Transcranial Doppler and EEG
Which intervention prevents aspiration in acute stroke care?
NPO except for prescribed PO medications.
Which medication prevents seizures after brain surgery?
Phenytoin.
Best nursing action during Guillain-Barré progression?
Monitor respiratory status.
What is a key difference between septic and aseptic meningitis?
Aseptic is viral; septic is bacterial.
What should a nurse do first when a stroke client has arm drift?
Recognize it as a possible upper motor neuron lesion.
How can the nurse reduce fall risk in Parkinson’s disease?
Recommend walker and remove tripping hazards.
What is the best intervention for MS-related fatigue?
Rest in an air-conditioned environment.
What is the nurse's priority after giving tPA?
Monitor for signs of bleeding.
What does pronator drift suggest in stroke?
Contralateral motor cortex involvement.
Which medication treats diabetes insipidus post-pituitary surgery?
Vasopressin.
What condition is indicated by restlessness after a head injury?
Increased intracranial pressure.
Which question helps identify an MS trigger while traveling?
Ask about drastic temperature changes.
What teaching point is essential for a client with epilepsy?
Never abruptly stop anticonvulsant medications.
How should the nurse address poor eye closure in Bell’s Palsy?
Tape eye at night and apply lubricant.
How should the nurse handle a pre-EEG client who had caffeine?
Notify the provider; may need to reschedule.
A client with multiple sclerosis reports a new onset of sharp, shooting pain in the face when brushing their teeth. What is the nurse’s most appropriate action?
Educate the client on using gentle oral hygiene techniques to minimize triggering trigeminal neuralgia.
Which test assesses early MS coordination?
Heel-to-shin test.
What causes alcohol-induced migraines?
Vasodilation of blood vessels.
A CT scan confirms ischemic stroke- now what?
PIV access, IV labetalol, IV TPA, Continuous Tele (Cardiac Monitoring), Aspiration Precautions (for me NPO except for prescribed PO pills).