Where is the most dangerous and often fatal type of brain herniation?
What is Brain stem herniating through the foramen magnum.
100
Hypotonic solutions containing glucose are avoided for what reason?
What is Solutions containing glucose are avoided because they increase ICP.
100
What drug is used to slow the progression of ALS and delay the need for a tracheostomy?
What is Riluzole (Rilutek)
100
What is the most common clinical sign of Myasthenia Gravis?
What is Ptosis(drooping of the eyelids)
100
What is the cause of Bell’s Palsy?
What is cause is unknown, but a viral link is suspected.
200
What is the earliest sign of increased ICP?
What is Decreased level of consciousness.
200
When a person has been in contact with someone with meningococcal meningitis, what medicine is prescribed?
What is Prophylactic oral rifampin (Rifadin)
200
drug used for client diagnosed with multiple sclerosis & suffering from urinary retention
What is Bethanechol (Urecholine)
200
characteristics of facial twitching with sudden facial pain and burning
What is Trigeminal Neuralgia?
200
When caring for a client with trigeminal neuralgia (tic douloureux), how do you assist the client in meeting adequate nutritional needs?
What is taking small bites of food of soft consistency
300
What causes papilledema?
What is Interference with venous drainage from the eye and is observed through examination with an ophthalmoscope.
300
Client has Guillain-Barre syndrome with ascending paralysis. Knowing the potential complications, this should be kept at the bedside
What is intubation tray and suction apparatus
300
What type of solutions should be avoided to prevent increased ICP?
What is Hypotonic solutions and solutions containing glucose.
300
If condition has reached the brain stem, you will see evidence of difficulty speaking and swallowing in the client
What is Amyotrophic Lateral Sclerosis?
300
What is the classic triad of symptoms associated with increased ICP?
What is headache, vomiting, and papilledema is common.
400
Cushing Triad is characterized by what signs?
What is Pulse that increases then decreases, Systolic BP that rises with a widening pulse pressure, Respiratory rate that is irregular
400
What two interventions may shorten and enhance treatment of Guillain-Barre Syndrome?
What is Plasmapheresis and administration of IV immune globulin (Gamimine N)
400
A lumbar puncture in a patient with multiple sclerosis would reveal an Increased or Decreased WBC count?
What is Increased WBC count
400
Diagnostic findings of cloudy CSF, elevated RBC & WBC in CSF, & decreased glucose
What is Bacterial Meningitis?
400
normal range of intracranial pressure in the ventricles
What is 1-15 mmHg?
500
Describe Cheyne-Stokes respirations
What is Shallow, rapid breathing followed by periods of apnea.
500
What is the treatment used for a brain abscess?
What is Antimicrobial therapy and craniotomy
500
What medication is used as a prophylactic measure when a patient is in contact with someone who has meningococcal meningitis?
What is Rifampin (Rifadin)
500
client presents with sudden fever, nuchal rigidity, and severe headache. You notice upon assessment multiple mosquito bites on client's body. What do you suspect?
What is Encephalitis?
500
Client has Glascow coma scale of 13, ICP of 17, up 2 mmHg from last reading. As an LPN, what is your next action?
What is notify the physician; this is cause for concern