-
Neurological finding that would be abnormal in an 88 y/o would be
dizziness and problems with balance
-
Normal Babinski
downward curl of toes
-
Flexed upper and lower extremities with head injury
increased ICP with decorticate posturing
-
Positive Brudzinski�s
flex kips when neck is flexed by nurse
-
Assessment indicating mannitol therapy for cerebral edema is effective in a patient with ICP is
increased urinary output
-
Prevent post lumbar puncture h/a, patient should
lie flat
-
Cushings triad
bradycardia, hypertension and widening pulse pressure
-
Pt fell and hit head. Nurse will be assessing for
increasing BP
-
What should you do to foods for Parkinson�s patient
thicken liquids
-
Can st john�s wort effect parkinson�s meds?
Yes can interfere with effectiveness of parkinson�s meds
-
Can other drugs be combined with LDopa and Sinemet
yes to increase effectiveness
-
Nursing assessment that would indicate need for suctioning pt with Guillain Baree
increased pulse rate and adventitious breath sounds
-
Appropriate gift for pt with parkinson�s
satin sheets
-
Pt with postcrainiostomy, nurse can reduce ICP by
elevating HOB 30 degrees
-
Update care to ALS pt who is prone to depression
intellectual capacity is not affected
-
Post CVA who has weakness on rightside and impaired reasoning has had CVA
left hemisphere of cerebrum
-
Momentary confusion, dizziness, slurred speech recovered in 2 hours most helpful in assessment
auscultation of a bruit over the carotid
-
Purpose of Coumadin
prevents formation of new clots
-
Nurse explains pt who has a complete stroke as result of ruptured vessel in left hemisphere classified as
hemorrhagic, intracerebral
-
Acute phase of CVA has ended when
vital signs and neuro status stabilizes
-
Pt in acute phase of stroke who has been speaking distinctly begins to speak indistinctly and only with great effort but is coherent
stroke in evolution with dysarthria
-
Lumbar puncture can help determine with stroke is
hemorrhagic or embolic
-
Intervention that helps preserve joint mobility in acute phase of CVA
support affected points in good functional alignment
-
Nurse assesses that CVA is in transition to rehab phase when
there are no further neurologic deficits observed
-
Rehab phase of CVA with homonymous hemianopsia needs to have items on
affected side
-
Most effective interventions for best support of regular bowel elimination and prevention of constipation
daily stool softeners
-
Laclunar srokes most always
results in blindness
-
Spinal cord extends from brainstem to
L-2
-
C5 fracture is paralysis permanent?
Too early to tell and will know more when spinal shock subsides
-
Assessment indicates resolution of spinal shock
spastic involuntary movements of affected limbs
-
Assessment that ensures that spinal cord injury is below C4
independent respirations
-
Findings of muscle strength nurse records 2 for R arm means muscles of arm show
muscle movement with supported
-
Brown Sequard syndrome results in
ipsilateral loss of motor function, contralateral loss of pain sensation and temp
-
Which level of independence is an appropriate nursing care plan for pt with C8 transection?
Manage ordinary wheelchair
-
After spinal shock is resolved, indwelling catheter is removed. Murse tells pt the bladder will empty by
spontaneous reflexive action
-
Gardner wlls tongs
align cervical vertebrae
-
Halo
allows pt out of bed
-
Intervention for autonomic dysreflexia
raise HOB to at least 45 degrees
-
Prevention of autonomic dysreflexia
ensure patency of urinary catheter
-
Response to family member who asks about relative with C4 injury
pt will always have ventilator
-
Anteriod cord syndrome
pt may be able to use hands and arms
-
Cone down
detailed xray will be taken of spinal injury
-
Spinal cord pt with lack of bowel function 2 days after injury nurses response
due to injury, he will always need enemas for bowel evacuation
-
Interventions to prevent contractures in spinal cord patient
apply splints to limbs
-
Rehab of spinal cord pt
focuses on adjustments necessary to reenter society and workplace
|
|
