Nursing Responsibility
Named for the institution that created this assessment, You must maintain this certification YEARLY in Health Stream.
What is your NIHSS certification?
B.E.F.A.S.T. is the acronym used to describe WHAT
What are the signs and symptoms of stroke?
This Diagnostic test is used to monitor brain activity.
What is an EEG?
THESE EVENTS define the frequency of NIHSS assessment required for patients admitted for rule out stroke or TIA.
What is every shift, upon admission, transfer to another unit, change in neurological status and discharge?
THIS provides a "pulse" of the central nervous system.
What is a neuro assessment?
You should do THIS if the daughter of your patient comes out to you and complains her dad is not unable to read the newspaper that she brought him. He usually reads every day.
What is call 5-5-5-5 inpatient stroke alert?
The two types of stroke are defined as THIS
What are Ischemic vs Hemorrhagic?
The four required items in the room for a seizure admission are...
What is oxygen, suction, seizure pads, and fall mats?
Stroke Education should be THIS for your patients
What is personalized to each individual patients' risk factors?
This is one of the first signs of a worsening neurological condition or bleed
What is altered level of consciousness?
Prior to discharging your subarachnoid hemorrhage patient, he needs this specific medication to reduce vasospasms.
What is nimodipine?
This condition is the number one stroke mimic.
What is hypoglycemia?
This condition is defined as three or more seizures in a row or a seizure lasting more than 5 minutes.
What is status epilepticus?
This scale is scored on a range of 3 - 15. Anything 8 or less indicates a comatose client.
What is the Glasgow Coma Scale?
These are the symptoms suspicious for posterior stroke.
What is Dizziness, Diplopia, Dysarthria, Dysphagia, Dystaxia?
Name this Joint commission CORE MEASURE STK5 anti-thrombotic medication
**DOUBLE points if you can provide when it must be administered by and when it is NOT administered
What is aspirin or plavix?
By admission day 2
wait 24 hours after thrombolytics
wait until MD clears if hemorrhagic stroke
Symptoms of this diagnosis resolve within minutes to hours, but not more than 24 hours.
What is a Transient Ischemic Attack (TIA)?
Your patient reports that his boss is being discriminatory against him since he has epilepsy. You educate him that he is protected under THIS law.
What is the Americans with Disabilities Act?
This is the documentation timing requirement for Vital signs and Neuro assessments.
*DOUBLE points if you can provide the times of documentation required *
What is every 4hrs?
0400-0800-1200-1600-2000-0000
Calculate the following GCS Score
Eyes open to pain
Using inappropriate words
Localizing to pain
What is a GCS of 10?
Eyes open to pain - 2
Using inappropriate words - 3
Localizing to pain - 5
This is a joint commission CORE MEASURE can be provided mechanically or pharmacologically.
What is VTE prophylaxis?
- with SCD's or Pharmacological (sub-q lovenox or heparin).
To reduce ICP, this antihypertensive medication is preferred because it has no effect on cerebral vasodilation and has a short half-life.
What is nicardipine?
These time limits define WHAT for seizure patients
3 months, 6 months, 12 months
What are the post seizure driving restrictions in MD, VA and DC?
THIS designates that this patient Must remain NPO, including oral medications.
What is a failed dysphagia assessment?
If symptoms improve MUST reassess
This Cranial nerve is not tested.
What is CN1: Olfactory?