Show:
Take your pick
Head Injury, Stroke, Tumor
Seizure/Disk/SCI
Parkinsons/AD
MS,GB,ALS
100
Steady, rather than throbbing, affects both sides of head and occurs frequently.
What is tension type HA.
100
Localized pain.
What is the clinical manifestation of skull fracture.
100
Call client by name, ask to perform a specific command, ask client to remember 2 words, ask about aura, check tongue and oral cavity for injury, offer comfort and reassurance, keep client in side-lying position.
What are "after seizure" precautions.
100
With this diagnosis, advise client to use adaptive devices, take meds at scheduled times to maintain optimum drug level, avoid taking multivitamins, foods high in Vit B6 and high protein foods when taking levodopa, prevents constipation with water and stool softeners and have IOP measured frequently if client has glaucoma.
What is Parkinson's Disease (PD).
100
Three stages of this disease, acute (1-3 weeks), plateau (several days to 2 weeks) and recovery (involves remyelination and may last up to 2 years).
What is Guillain-Barre Syndrome.
200
Four points of HA client teaching.
What is headache diary keeping, avoid trigger foods, reduce salt intake, practice relaxation techniques.
200
May develop after injury, as manifested by HA and dizziness. Nervousness, irritability, emotional lability, fatigue, insomnia, loss of mentation and sometimes other neuro deficits occur. This syndrome may last from several weeks up to 1 year.
What is post-concussion syndrome.
200
Primary method of controlling seizure activity.
What is pharmacological management (anticonvulsants).
200
Difficulty swallowing. Common in PD patients.
What is dysphagia.
200
There is no known cure for this progressive, fatal disease characterized by degeneration of motor neurons in the cortex, medulla, and spinal cord.
What is ALS.
300
CA channel blockers should be given for stroke patients -- true or false?
False. CA channel blockers should not be used for client with CVA They dilate blood vessels and increase cerebral perfusion. Cerebral edema (peaking at 3-5 days post CVA) and increased ICP may further complicate neuro status with CVA patient. Neuro deficit begin to resolve within 2 days as cerebral edema decreases. Gradual progression in the return of various functions from proximal to distal can occur for 1-2 years.
300
Monitor LOC, eye movements, pupil changes, vital signs, I & O, pulse ox, and Glasgow coma scale. ICP monitoring if in place. Maintain patent airway, administer O2 as ordered, HOB at 30-40 degrees and head at midline, watch for weakness, twitching, NV and visual or hearing disturbance.
What is nursing management for head injury.
300
Entire brain is affected simultaneously by an electrical disturbance in the neurons which causes an aberrant discharge of electrical activity. Examples are tonic/clonic (grand mal), absence (petit mal) or myoclonic.
What is generalized seizure.
300
Green and black tea are high in this compounds which are therapeutic for PD.
What are antioxidants. Free radicals are attracted to cells that produce dopamine. Antioxidants destroy free radicals and allow release of increased dopamine.
300
Characterized by loss of myelin in the brain, spinal cord or both and by the occurrence of sclerotic patches.
What is Multiple Sclerosis.
400
Most common cause of encephalitis or meningitis.
What is a virus.
400
Restlessness, changes in logic, changes in vital signs, pupil responses, speech abnormalities, seizure activity or changes in respiratory patterns.
What are possible signs of increased ICP.
400
Conservative medial treatment, i.e. rest, stress reduction and immobility of the spine and pain relief is often tried for several weeks to relieve symptoms of this disorder.
What is herniated intervertebral disk.
400
Characteristic physiologic changes of this disease are neurofibrillary tangles and amyloid plaques.
What is AD.
400
Loss of balance or coordination.
What is ataxia.
500
Clinical manifestations are chorea, abnormal involuntary purposeless movements or all musculature of the body, facial tic, grimacing, difficulty chewing and swallowing, speech impairment, disorganized gait, bowel and bladder incontinence, mental and intellectual impairment progressing to dementia.
What is Huntington's disease (HD).
500
Major risk factor for stroke.
What is hypertension. Other risk factors include DM, atherosclerosis, aneurysm, cardiac disease, lifestyle, smoking, stress, drug abuse (esp. cocaine), use of OCPs. Clients with more than one risk factor are at even greater risk. One in twenty people who have a TIA will have a stroke within 2 days.
500
Hypotensive situation resulting from the loss of sympathetic control of vital functions from the brain. Also evidenced by orthostatic hypotension, bradycardia, decreased CO, loss of ability to sweat below the level of injury and poikilothermia (body temp adjusts to room temp).
What is neurogenic shock. May occur during spinal shock. Happens in clients with injury above the 6th thoracic vertebrae.
500
Loss of this sense may be an early sign of neurodegenerative disease.
What is olfactory (smell).
500
Imuran, Cytoxan or Sandimmune are this class of pharmacological agent.
What is an immunosuppressive agent.