Acute intracranial problems
All things stroke
Chronic probs
Give me my meds please
Nursing interventions
100

What are the three intracranial regulation components ? 

Cerebrospinal fluid, intravascular blood,and brain tissue.

100
What are five risk factors for stroke? 

Nonmodifiable: Age, Gender, Ethnicity, Family History

Modifiable: HTN, Heart Disease,Diabetes, Smoking, Obesity, Sleep Apnea,Metabolic Syndrome, Sedentary Lifestyle, Poor Diet, Drug/Alcohol Use



100

What headache type is characterised by sharp, stabbing pain, that usually occurs and the same time of day? 

Cluster headache 

100

A nursing student has frequent tension headaches. What treatment could they use? 

ASA, Tylenol, or NSAIDs (sometimes used with caffeine) Sedative or muscle relaxer

100

Name 2 nursing interventions for viral meningitis:

Symptom Control
 Patient Comfort
 HOB elevated                                                    Drug therapy



200

What are the things the GSC measures?

Eye opening,Verbal response, motor response 

200

What is the etiology of strokes? (2 types) 

ischemia and hemorrhage 

200

What phase occurs after a seizure?

Postictal Phase


200

A nurse knows that TPA should be given within what time period?

3-4.5 hours of ONSET of symptoms

200

A nurse knows that an important aspect of patient teaching for prevent of encephalitis is: 

Mosquito bite prevention 

300

What posture is worse with intracranial pressure?

Decerebrate.

300

What is a Transient Ischemic Attack?

 episode of neurologic dysfunction caused by focal brain,spinal cord, or retinali schemia (Symptoms < 1 hour)


300

Describe the moments of a tonic-clonic seizure? 

Body stiffens (tonic phase) and then extremities jerk (clonic phase)

300

Drug therapy for ALS:

No cure available
 Rilutek – slows progression
Artificial ventilation


300

Patient education related to MS:

Triggers, mobility, bladder control issues, constipation

400

What is the prevention of bacterial meningitis ?

Vaccinations:MCV4, Serogroup B Meningococcal, Flu/Pneumonia

Prophylactic antibiotics for
exposure


400

A patient you are taking care of had a stroke last night. The family wants to know when they can have a drink.What do you tell them? 

They will need to have a shallow study before being able to drink anything. 

400

List seizure precautions:

side rails padded, pillow under the head, artificial airway material and suction at bedside, loose clothing, bed in lowest position, privacy provided. 

400

What drug would you expect to be giving to someone in status epilepticus?

Rapid-Acting antiseizure drug (IV benzo)- lorazepam, midazolam, or diazepam

400

Nursing assessment of a stroke patient:

Cardiac and Respiratory Status, Health History, Neurological Assessment

500

What is the difference between meningitis and encephalitis? 

  • Meningitis: Inflammation of the meninges, the membranes that surround the brain and spinal cord.
  • Encephalitis: Inflammation of the brain itself
500

What is the NIHSS? What is the score range? Does higher or lower mean increase risk? 

Scale that measures stroke risk. 0-42. Higher the number greater the risk 
500

What is the difference between focal awareness and impaired focal awareness?


Focal Awareness:Conscious and alert with unusual feelings, emotions or sensations


 Focal Impaired Awareness: Loss of consciousness or change in awareness. Eyes are open with no memory of events


500

Drug therapy for parkinson's:

Levodopa/Carbidopa (Sinemet)
Anticholinergic drugs (Cogentin)
MAOIs

500

Interventions for acute care of ischemic strokes: 

Time of onset, ABCs, Maintain Oxygenation,Maintain BP, Fluid/electrolyte balance, Drug Therapy and Endovascular Therapy