Neuro Spinal Cord
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The condition whereby myelin sheaths of the white matter of the spinal cord, brain, and optic nerve are destroyed in patches, called plaques, along the axon.
Demyelination
As the home health nurse you are helping a patient with Parkinson’s Disease get dressed. What type of shoes gathered by the patient to wear should NOT be worn?
rubber sole shoes
A patient with myasthenia gravis will be eating lunch at 1200. At what time should you administer this medication so the patient will have the maximum benefit of this medication?
one hour before patient eats to increase muscle contraction, 30-60 minutes to work, med prevents breakdown of acetylcholine
Which diagnostic test is used to confirm the diagnosis of ALS?
muscle biopsy, checking muscle fibers
Motor neurons die over time
This diagnostic test for Guillian Barre reflects decreased nerve ___________ .
Conduction
What is the surgical resection of the dorsal root of a spinal nerve. It is performed to relieve pain and sometimes spasms with this neuro disease.
Rhizotomy
Two words to describe when the thumb and forefinger appear to move in a rotary fashion as if rolling a coin or other small object.
pill rolling
This type of crisis is a result of overdosage with anticholinesterase medications used to treat MG.
Cholinergic crisis
ALS results from the ___________and __________
of motor neurons in the
spinal cord, which results in paralysis
and weakness of the muscles.
degeneration and demyelinization
The nurse should inform the client that the paralysis that accompanies Guillain-Barré syndrome is _____________.
temporary in most cases
A type of muscular hypertonicity with increased resistance to stretch. It usually involves the flexors of the arms and the extensors of the legs.
spasticity
This substance is reduced in Parkinson’s disease and is reduced due to loss of brain cells that produce it.
dopamine
The most commonly used medication for MG. It is an anticholinesterase.
pyridostigmine
A female client with amyotrophic lateral sclerosis (ALS) tells the nurse, “Sometimes I feel so frustrated. I can’t do anything without help!” This comment best supports which nursing diagnosis?
A client is admitted with a diagnosis of Guillain-Barre. During the nursing admission interview, the nurse asks if the client has history of:
recent GI or respiratory infections
A patient is receiving Interferon Beta for treatment of MS. As the nurse you will stress the importance of?
hand hygiene, avoid infection
A patient with Parkinson's Disease has slow movements that affects their swallowing, facial expressions, and ability to coordinate movements. As the nurse you will document the patient has:
bradykinesia
You're a home health nurse providing care with a patient with myasthenia gravis. When would be the best time to visit the patient to help with bathing and exercising?
in the morning, muscle weakness later in the day
The patient with ALS has developed pneumonia. The patient is to receive a 100-mL intravenous antibiotic over 30 minutes via an intravenous pump. At what rate should the nurse set the IV pump? ___________
200 ml per hour
The patient has returned after a lumbar puncture for suspected GB. What is an important nursing intervention?
lay flat and drink fluids
This is the most common nursing diagnosis associated with MS.
Fatigue
A patient with Parkinson Disease is experiencing weight loss due to difficulty chewing and swallowing. What would you as the nurse recommend for breakfast?
scrambled eggs, cottage cheese, easy to chew
Which antidote will you have on hand in case of an emergency while the patient undergoes a Tensilon test?
Atropine blocks acetylcholine
The son of a client diagnosed with ALS asks the nurse, "Is there any chance that I
could get this disease?" What should the nurse tell the son?
Yes, genetic transmission does occur in some cases but not all.
The nurse is about to send a patient for a lumbar puncture to help rule out Guillain-Barré Syndrome. Before sending the patient the nurse will ask the patient to?
Urinate