Disorder
Signs and Symptoms Chapter 24
Treatment
Nursing Interventions
100

During the postictal period (after a seizure) the client will be ____________ and ______________.

Clients can also have an _____ before a seizure. 

Confused; Drowsy page 539


aura

100

Motor dysfunction, Sensory dysfunction, problems of coordination, mental changes, and fatigue

What is Multiple Sclerosis?

100
The treatment for this disorder includes closing and patching the eye if it loses blink reflex. p 584

What is Bell Palsy?

100
One of the most important interventions a nurse can perform for a client during a seizure is to _________

Maintain the airway

200

There are no laboratory tests to diagnose this disorder but due to the decline in respiratory function ABGs should be monitored.

What is ALS? 

200

Tremor, Bradykinesia, Rigidity

What is Parkinson's Disease?

200

The acronym used to identify stroke

What is FAST? 

Facial drooping

Arm Weakness

Speech difficulty

Time to call 911

200

The following signs and symptoms indicate which disorder?

Sudden fever, severe and persistent headache, nuchal rigidity, exaggerated deep tendon reflex, irritability, positive Brudzinski sign, positive Kernig sign. 

What is Bacterial Meningitis?

What isolation precautions do you use for BM? 

Droplet

300
Death typically results from respiratory infection and dysfunction in this disorder p576

What is ALS?

300

Weakness of voluntary muscles, especially of the distal muscles of the extremities p576

What is ALS?
300

tPA must be administered within ___________ hours of the onset of symptoms


When would you not administer tPA (or any other blood thinning agents)?

3-4.5

page 548


If there is a known risk of bleeding or an intracerebral bleed. (hemorrhagic stroke)

300

What are the nursing interventions for a lumbar puncture?

497

400

This can occur any time the brain is deprived of oxygen

What is a seizure?

400

Mild sensations of numbness and tingling in the feet and hands followed by muscle pain, tenderness, and aching.

What is Guillain-Barre Syndrome?

400
What are the treatment options for a client with a brain infection?559

Antibiotics/Antivirals

Dexamethasone

Anticonvulsants

Acetaminophen

Conserve pt strength, prevent seizures, promote healing, keep pt room dimly lit and quiet, Strict I&O's , IV fluids, 

400

Due to intense nerve pain clients with this disorder should be taught to eat small frequent meals, consisting of food that is soft and moderately warm. p 563

What is Trigeminal Neuralgia?

500

Modifiable Risk Factors of Stroke p 543


Nonmodifiable Risk Factors of Stroke


CVA=Stroke

WARFARIN LEVELS

500

Diplopia, difficulty chewing and swallowing, ptosis

What is Myasthenia Gravis?

500

page 581 Patient teaching

READ THIS BOX

500

This should be assessed in the client with Myasthenia Gravis prior to every meal.

What is swallowing?

600

This is a side effect of spinal cord injury. S/S include sudden HTN, headache, sweating and flushing above the level of injury, pallor and goosebumps below the level of injury.

What is autonomic dysreflexia? p528
600

The following three late signs indicate ICP:

 bradycardia, with full bounding pulse

rapid or irregular respirations

a widened pulse pressure.

What is the Cushing Triad? p520

600

Removing tight clothing from around the waist, removing compression socks, unkinking catheter tubing, and removing fecal impaction, are some things we can do to help with this disorder

What is autonomic dysreflexia?

p530

600

Injury to this section of the spine requires close monitoring of respiratory function.

What is the cervical spine?