Tools
A clinical stroke assessment tool that evaluates and documents a patient's neurological status.
What is National Institutes of Health Stroke Scale (NIHSS) ?
To assess this cranial nerve, ask the client to smell and identify a strong, common scent (ie: coffee).
What is olfactory?
Two cardinal signs of Parkinson's disease
What is Tremor, Rigidity, Bradykinesia/akinesia, and Postural instability
A patient who had a stroke is experiencing memory loss and impaired learning capacity. In which lobe does the nurse determine that the brain damage has most likely occurred?
What is frontal?
What time should RVCC nursing students be ready to receive morning report?
What is 0645?
This chart is an eye chart that measures visual acuity, or the clarity and sharpness of vision. It is named after a Dutch ophthalmologist who created the chart in 1862.
What is the Snellen eye chart?
Cranial nerve III
What is oculomotor ?
In this stage of Parkinsons, tremors can decrease, but akinesia and rigidity make day-to-day tasks difficult.
What is stage IV?
A patient is brought to the emergency department with symptoms that indicate a possible stroke. Which initial diagnostic test for a stroke, usually performed in the emergency department, will the nurse prepare the patient for?
What is Noncontrast computed tomography?
How many hours post clinical is your clinical assignment due?
What is 48 hours?
Is an involuntary muscle contraction that occurs when a tendon is stretched.
What is deep tendon reflex (DTR) ?
To assess this cranial nerve have the client protrude tongue at midline and then move side to side.
What is hypoglossal?
This class of medications block action of acetylcholine, allowing dopamine to rebalance/replenish to help control tremors & rigidity
What are Anticholinergics?
A patient has a cardioembolic stroke. What is the most common cardiac arrhythmia that is observed on the monitor?
What is Atrial fibrillation?
If a RVCC student arrives to clinical without this item they may be dismissed and will be marked as absent from clinical.
What is ID badge?
A score of less than 8 on this scale usually indicates a coma
What is Glasgow Coma Scale (GCS) ?
To assess this cranial nerve ask the client to swallow and speak (note hoarseness).
What is vagus?
Is often added to levodopa to avoid metabolism of levodopa before it can reach the brain.
What is carbidopa?
The nurse assesses that a patient is exhibiting symptoms associated with a Transient Ischemic Attack (TIA). After which period of time will the nurse monitor for these symptoms to subside?
What is 1 hour?
This agency dictates the minimum number of hours required for nursing classroom instruction and concurrent clinical practice. Failure to complete these hours may make it impossible for a student to meet course objectives.
What is NHBON ?
PERRLA is an acronym that stands for:
What is pupils are equal, round, reactive to light, and accommodation (PERRLA) ?
When assessing this cranial nerve, the client's eyes should be able to follow the pen light as it moves.
What is trochlear?
Involves surgical implantation of an electrode into the brain in either the globus pallidus or subthalamic nucleus.
What is deep brain stimulation (DBS)?
This treatment has significantly decreased post stroke symptoms. However, the treatment challenge is that therapy has to be given within 2 hours.
What is Thrombolytic therapy with recombinant plasminogen activator (rt-PA) ?
At RVCC, this is based on QSEN competencies, the National League for Nursing KSAs, the NCSBN guidelines, Benner’s stages of clinical competence, and Gibb’s Reflective Cycle Model to evaluate clinical performance.
What is Clinical Competency Evaluation Tool (CET) ?