Neuro Assessment
This scale assesses a patient's level of consciousness following a neurological injury.
What is the Glasgow Coma Scale (GCS)?
The acronym used to identify common stroke symptoms.
What is BE FAST?
The nurse's first action when witnessing a seizure.
What is protect the patient from injury?
Normal ICP ranges from this value.
What is 5–15 mmHg?
This disease is characterized by memory loss and cognitive decline.
What is Alzheimer's disease?
The nurse assesses these three components when using the Glasgow Coma Scale.
What are eye opening, verbal response, and motor response?
This type of stroke results from a blocked blood vessel.
What is an ischemic stroke?
This position should be used after a seizure.
What is side-lying (recovery position)?
Head of bed positioning recommended for increased ICP.
What is 30 degrees?
This disease is characterized by tremors, rigidity, and shuffling gait.
What is Parkinson's disease?
A patient with unequal pupils following a head injury may be experiencing this life-threatening complication.
What is increased intracranial pressure (ICP)?
The priority nursing intervention for a patient with sudden facial droop and slurred speech.
What is activate emergency stroke protocol/call 911?
The nurse should never place this in a patient's mouth during a seizure.
What is any object (tongue blade, spoon, etc.)?
These three findings make up Cushing's Triad.
What are:
This autoimmune disease causes demyelination of the CNS.
What is Multiple Sclerosis?
The most important assessment finding when evaluating a patient for stroke.
What is determining the time the patient was last known well?
A patient with stroke symptoms should not receive anything by mouth until this assessment is completed.
What is a swallow evaluation?
A seizure lasting longer than 5 minutes is called this.
What is status epilepticus?
A patient with increased ICP should avoid this action because it increases pressure.
What is Valsalva maneuver/straining?
This disease causes progressive muscle weakness due to motor neuron degeneration.
What is Amyotrophic Lateral Sclerosis (ALS)?
This standardized tool is commonly used to evaluate stroke severity.
What is the NIH Stroke Scale (NIHSS)?
Brain tissue begins to die within minutes during a stroke. This phrase describes the urgency.
What is "Time is Brain"?
This medication is commonly administered for status epilepticus.
What is lorazepam (Ativan)?
Early signs of increased ICP include these two assessment findings.
What are altered LOC and headache?
Ascending paralysis is a hallmark sign of this disorder.
What is Guillain-Barré Syndrome?