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N2 Neurological Disorders Flashcards | StudBud
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N2 Neurological Disorders
N2 Neurological Disorders
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1
julie says she also has been having trouble getting to the bathroom on time. could this be from MS? T-yes F-no
False
True
2
you need either lower motor or upper neuron degeneration to diagnose ALS
True
False
3
what symptoms from julie would be placed under the category "motor"?
vision loss
LE weakness
incontinence
muscle stiffness
4
this stroke is from a ruptured aneurysm that bleeds in between the brain and brain tissue
intracerebral hemorrhage
subarachnoid hemmorhage
lacunar
thrombotic
5
this stroke diagnostic procedure helps see narrowed blood vessels within the skull.
MRI
CT
Carotid Ultrasound
non-contrast CT
6
pt with receptive dysphasia are also aware of the errors they make.
True
False
7
Tell me more about DBS...
DBS last a lifetime for a PD patient
DBS does not slow down the progression of PD
DBS treats only some symptoms like tremors and med induced dyskinesia
DBS treats all the symptoms of PD
8
what s/s do you notice in a patient with guillain barre syndrome?
bilateral areflexia
resp or gi infection signs 3 weeks before
increase in CSF proteins
weakness that begins in toes and goes upward
9
lid crutches are available for ptosis.
False
True
10
during post-mortem exam of a pt with parkinson's disease, what can be observed in the nerve cells in the brain?
drusen bodies
luis bodies
drewry bodies
lewy bodies
11
what symptoms from julie would be placed under the category "cerebellar"?
vision loss
unsteady gait
nystagmus
ataxia
12
julie asks the nurse, what is MS? The nurse responds...
a neuroimmunological disease that results in damage to the myelin sheath.
this damage results in permanent loss of nerve function
you have a disease where there is reversible damage to your myelin sheath
something entered your body and is now attacking your myelin sheath.
13
this stroke is from a weak, ruptured artery that causes bleeding inside the brain tissue.
lacunar
thrombotic
intracerebral hemorrhage
subarachnoid hemmorhage
14
what is affected in this disease?
motor fx
sensory fx
cognitive fx
visual fx
15
julie asks how can I prevent relapses of neurological symptoms? the nurse responds...
avoid cool temperatures
avoid strenuous exercise
take hot baths
avoid stress
16
based off jenny's s/s, what disease does this sound like?
Myathenis Gravis
amyotrophic lateral sclerosis
parkinson's disease
Guillain-barre syndrome
17
this stroke diagnostic procedure detects narrowing by atherosclerotic plaque before they enter the skull
doppler sound
Carotid Ultrasound
MRI
CT
18
this stroke occurs when a clot or debris travels to a narrower artery that blocks flow of blood to the brain.
lacunar
subarachnoid hemmorhage
embolic
thrombotic
19
which of these help diplopia?
strabismus surgery
fresnel prisms
opaque lens
lid crutches
20
tell me about injury or ischemia to the expressive dysphasia...
speech errors
difficulty understanding speech
difficulty expressing thoughts
are aware of the errors
21
this surgical procedure is called...
Brain electrical Stimulation
Deep Brain Stimulation
Brain Stimulation
Electroconvulsive Stimulation
22
based off the scenario, Tommy seems to have the s/s of...
Myasthenia Gravis
Multiple Sclerosis
Parkinson's Disease
Guillain Barre Syndrome
23
this stroke is due from bleeding into the brain's ventricular space
intraventricular ischemic stroke
intracerebral hemorrhage stroke
intracerebral ischemic stroke
intraventricular hemorrhage stroke
24
during stroke management, a nurse should monitor..
electrolytes
BP
EKG
neurological symptoms
25
based off julie's s/s, what disease does this sound like?
guillain-barre syndrome
Amytrophic lateral sclerosis
Myasthenia Gravis
Multiple Sclerosis
26
how can you manage julie's fatigue?
use hot packs
have the pt walk for 30 minutes every hour
collaborate with OT to educate julie about conserving energy
bring her ice water
27
this stroke is from a small infarction caused by an obstruction of a small blood vessel or group of small blood vessels
lacunar
embolic
thrombotic
subarachnoid hemmorhage
28
what diagnosis does turner's situation sound like?
ischemic stroke
transient ischemic attack
hemorrhagic stroke
stroke
29
a pt with parkinson's disease may have problems with...
facial expressions
speaking
writing
bowel movements
30
a pt with a glasgow coma scale of what indicates the patient is unable to protect themselves.
15
8 or less
13
10 or less
31
what are some nursing interventions for a patient with ALS?
elevate head of bead while eating
teach range of motion exercises
turn, cough, and short breath exercises
turn patient every 4 hours
32
what procedure was being described in scenario 4b?
CT
MRI
electromyography
electrocardiogram
33
if a pt has a cholinergic crisis, I should not continue with administration of tensilon/edrophonium.
True
False
34
based off the s/s and diagnostics preformed, what disease does this sound like it could be?
multiple sclerosis
stroke
guillain barre syndrome
myathenis gravis
35
both crisis's require mechanical ventilation
True
False
36
how can you manage julie's muscle stiffness?
teach breathing exercises
hot water therapy
provide orthotic devices
teach stretching techniques
37
what is the antidote for a pt having a cholinergic crisis
atropine
narcan
naltrexone
protamine sulfate
38
this stroke diagnostic procedure needs to be done within 30 mins at the ED and visualizes hemorrhage
Carotid Ultrasound
MRI
CT
non-contrast CT
39
how is parkinson's diagnosed?
diagnostic tests
from what the patient states
lab tests
from what the physician observes
40
this test increases muscle strength within a minute of administration of an anticholinesterase inhibitor.
tensilon test
cholinergic test
acetylcholine ab test
bulbar test
41
Based off the s/s of Tommy, he is in stage 1 of Hoehn and Yahr Scale.
True
False
42
tell me about injury or ischemia to the broca's area...
receptive dysphasia
expressive dysphasia
sensory speech area
motor speech area
43
this procedure repairs droopy eyelids by removing excess skin, muscle, and fat.
strabismus surgery
blepharoplasty
thymectomy
fresnel prisms
44
a pt with a basilar artery syndrome can have s/s on the ipsilateral or contralateral side of injury
True
False
45
what type of ischemic stroke is being presented?
thrombotic stroke
left middle cerebral artery syndrome
basilar artery syndrome
right middle cerebral artery syndrome
46
the risk of stroke is greatest within 24 hours after a TIA
True
False
47
Tommy asked, "how did I get this disease?" The nurse responds...
"there isn't enough dopamine which controls involuntary movement."
"Tommy, your brain was receiving too much dopamine in your brain cells."
"unfortunately, there was damage to serotonin in your brain cells."
"this disease is bc of damage to the brain cells that produce dopamine."
48
what nursing interventions are included for a patient with PD regarding ambulation?
use a gait belt when they are ambulating
do all the patients ADL's
remove any objects in the patients walking pathway
encourage ROM exercises
49
what should you have be apart of the discharge teaching plan?
education about different ways for the patient to communicate
education about the disease
the importance of reporting an decrease in dysphagia
the importance of making decisions about end of life care
50
julie asks if there is anything she can do to strengthen her bladder. the nurse tells her...
you should avoid caffeine
put in a suprapubic catheter
you should sit on this marble which will tighten your pelvic
you should drink wine
51
penumbra is irreversible, damaged cells from lack of blood flow.
True
False
52
GBS is when the body's immune system attacks myelin sheath of central nerves.
True
False
53
all patients with MG have a thymona
True
False
54
ischemic strokes are the most common strokes
True
False
55
what nursing interventions are included for a patient with PD regarding communication?
use visual aids when communicating with them
re-ask the patient a question if they haven't responded after a minute.
turn the tv down when speaking with the patient in their room
stand in front of the patient when speaking to them
56
you should keep a stroke patient supine
False
True
57
how many minutes within being in the ED should assessment of stroke symptoms be done?
15 minutes
5 minutes
10 minutes
before arriving the ED
58
what are some complications that can arise from the progression of ALS?
DVT
pneumonia
anxiety
respiratory failure
