Disorder
What is a diagnostic tool for PD?
None. Dx is based on health and physical history.
What are two types of TBI? What is the difference?
Closed and open. One wirh no skull fracture and another with skull fracture.
True of Fals, Electroencephalogram (EEG) can be apply to pt after a suspect seizure( no one saw it happen) and determine if a pt had seizure instantly.
False, EEG will work when pt is currently having a seizure.
What are the fx of frontal lobe, parietal lobe, temporal lobe, occipital lobe?
Frontal - motor, thinking, behavior
Parietal - sensation
Temporal - hearing
Occipital - vision
Lucky you, here a 100 pt and a joke about Beta-Blockers!
lol
What is an incomplete spinal cord injury?
A partial spinal cord injury that affect only partial neuro function below the injury
What is the priority assesment in pt with TBI?
LOC
What would pt experience during post ictal phase?
tireness, lethargy, amnesia, soreness, confusion, HA, nausea, drowsiness
What does FAST stand for?
F - Face: drooping, drooling
A - Arms: weakness, paralysis, tremor
S - Speech: slurred, aphasia
T - Time: onset of stroke
When is the best time to provide care especially PT for patients with myasthenia gravis?
In the morning. Pt has worsening weakness and fatigue as the day goes on.
What is a trigger for autonomic dysreflexia?
Full bladder/bowel with a hallmark of super high BP and low HR
A pt came in with reported trauma to the head. He is presented with a raccoon eye and complained about a runny nose. What dx might the pt has?
- Anrterior basilar fracture. Battle sign and otorrhea are symptoms of posterior basilar fracture. Is NG tube contraindicated in these dx?
What are the safety priority when encounter a person with seizure?
- Lower pt to the ground if possible
- recovery position
- clear the environment
- suction ready
- NPO
- Get Ativan (lorazepam) ready if > 1 min
Why is ther more safety risk with right stroke?
Right strok - not aware of their disability, impulsive
Left stroke - fully aware of the deficit, very cautious ( increased risk of depression)
True or False: In patient with Guillain Barre, the muscle weakness/paralysis progress from bottom to top?
True - watch for bowel/bladder issue and diaphragm issue
True or False: A patient with recently dioagnosed PD does not require monitoring during eating.
False. A patient with PD can have slurred speech and difficulty swolling, increasing the risk of aspiration and pnuemonia
Why is epidural hematoma more deadly than subdural hematoma?
epidural hematoma is an arterial bleed.
What are two types of focal seizure? How are they difference symptom wise?
Simple - alert with tic like movement ( lip-smacking etc)
Complex - loss of conciousness.
Pt with a stroke came in with extreme dehydration. Pt has repeatedly ask for water. Pt's lip is very dry and her urine color is dark amber. What would a nurse do?
What is an average distant nurses walk during a 12hr shift?
4 miles.
True or False: It is recommended to stack up a lot of blankets on pt with SCI to keep them warm due to inability to regulate temperature.
False, stacking up too many blankets can lead to an increased in pt's core temperature with no compensation like sweating.
What are the test options to determine CSF? Does one has more advantage over another?
Glucose test - CSF present with positive glucose, not effective with blood
Halo test - drop fluid on 4x4. if separaed like a ring, CSF is present
What is a differnce between tonic-clonic seizure and absence seizure regarding symptoms?
Tonic-clonic - typical body jerking
Absence - staring off into the space
A pt who has a stroke 2hrs ago came in with hx of hypertension, diabetes, and DVT. There is no hx of surgery in the past month, and he is not on any anticoagulant. The CT scan is pending, and the doctor order TPA to be given. What would a nurse do?
Hold TPA and wait for CT result to confirm that this is an ischemic stroke.
If dogs can't operate MRI machines, who can?