NSG-3250 EXAM 3
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1. left hemisphere functions: -right hand
-spoken language
-number skills
-scientific functions
-written language
-reasoning
2. Right hemisphere functions: -left hand
-music
-spacial orientation
-artistic function
-insight
-creativity
3. The cerebrum makes up the: _____, ______, ________, and ______ lobes: Frontal,
parietal, temporal, occipital
4. The brain stem makes up the: _____, _____, and the _____: Midbrain, pons, and medulla
5. If there is a drop of 2 points or more in the GCS, this indicates a: significant clinical
change and the MD should be notified
6. Headaches (cephalgia) s/s include: significant discomfort that can interfere with lifestyle
7. Headaches are caused by __________ in cranium: blood vessel dilation
8. Secondary headaches may indicate: tumors or aneurysm
9. Persistent headaches may require _________: intervention
10. What kind of medications would treat headaches?: Triptans: ****(IMPORTANT)******
(Imitrex)
-vasoconstrictor
-reduce inflammation
-reduce pain
-first line treatment
**Prophylactic meds prevent headaches**
11. Non-pharmacologic interventions for headache treatments include:: Dark room
local heat
, NSG-3250 EXAM 3
Study online at https://quizlet.com/_d97iyh
massage
avoid foods with taramines
12. Ischemic strokes are caused by ________: sudden occlusion of cerebral artery due to thrombus
or embolus
due to arthersclerosis (THROMBOSIS)
due to cardiac dysrhythmias (EMBOLISM)
13. Some manifestations of ischemic stroke include:: Numbness or weakness of face, arm, or
legs
aphasia
vision loss
mental status change
change in communication
14. Interventions for ischemic strokes:: Body positioning to prevent contractures and compressive
neuropathies
ROM 4-5 times a day to prevent DVTs, or VTEs,
15. Hemorrhagic strokes are caused by: Bleeding in the brain secondary to chronic HTN or an
aneurysm
16. Some manifestations of hemorrhagic strokes include: having the "worst headache of
my life"
alteration of LOC
seizures
sudden onset of agitation (priority)
changes in pupils
17. Being unarousable, unconsciousness, and unresponsiveness are indicators
of: Coma
18. Unresponsiveness to environment, makes no movement or sounds but can
open eyes is called _______: Akinetic mutism
19. devoid of cognitive function but has sleep-wake cycles: persistent vegetative state
20. •inability to move or respond except for eye movements due to a lesion
affecting the pons: Locked-in syndrome
, NSG-3250 EXAM 3
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21. Increased Intracranial Pressure (ICP): an increase in fluids around the brain which causes
pressure due to nonexpendable skull, less arterial blood can enter the "high pressure" area and tissue becomes
compressed, decrease function of neurons, brain tissue eventually dies, leads to widespread loss of function
22. Brain tissues may shift through the dura and result in: herniation
23. increased CO2 results in: vasodilation
24. Decreased CO2 results in: vasoconstriction
25. Episodes of abnormal motor, sensory, autonomic, or psychic activity that re-
sults from a sudden excessive discharge from cerebral neurons is called: seizures
26. Neuro overload, lack of sleep, brain tumor, electrolyte imbalance, alcohol
withdrawal are risk factors for: seizures
27. Staring or subtle body movement and brief loss of consciousness are ________
seizures: absence (Petit mal)
28. Sudden twitching or jerks of arms or legs are types of _______ seizures: myoclonic
seizures
29. Loss of normal muscle tone, suddenly collapse or fall are ________ seizures: -
Atonic (drop seizures)
30. The most intense type that causes LOC, intermittent stiffening or shaking,
and loss of bladder control indicate __________ seizures: Tonic-clonic (grand mal)
31. The responsibility of the nurse during a seizure episode is to _______________-
: observe and record the signs and sequence of events
32. Dilantin (phenytoin) therapeutic range: 10-20 mcg/mL
33. If phenytoin levels are below 10, what do you administer?: Dilantin
34. After the seizure (postictal), what should the nurse do?: assess airway and positioning
Also, turn patient on their side or start suctioning to prevent aspiration
Check vitals
perform neuro assessment
35. During a seizure, DO NOT ______ or _______: open mouth
restrain patient
Study online at https://quizlet.com/_d97iyh
1. left hemisphere functions: -right hand
-spoken language
-number skills
-scientific functions
-written language
-reasoning
2. Right hemisphere functions: -left hand
-music
-spacial orientation
-artistic function
-insight
-creativity
3. The cerebrum makes up the: _____, ______, ________, and ______ lobes: Frontal,
parietal, temporal, occipital
4. The brain stem makes up the: _____, _____, and the _____: Midbrain, pons, and medulla
5. If there is a drop of 2 points or more in the GCS, this indicates a: significant clinical
change and the MD should be notified
6. Headaches (cephalgia) s/s include: significant discomfort that can interfere with lifestyle
7. Headaches are caused by __________ in cranium: blood vessel dilation
8. Secondary headaches may indicate: tumors or aneurysm
9. Persistent headaches may require _________: intervention
10. What kind of medications would treat headaches?: Triptans: ****(IMPORTANT)******
(Imitrex)
-vasoconstrictor
-reduce inflammation
-reduce pain
-first line treatment
**Prophylactic meds prevent headaches**
11. Non-pharmacologic interventions for headache treatments include:: Dark room
local heat
, NSG-3250 EXAM 3
Study online at https://quizlet.com/_d97iyh
massage
avoid foods with taramines
12. Ischemic strokes are caused by ________: sudden occlusion of cerebral artery due to thrombus
or embolus
due to arthersclerosis (THROMBOSIS)
due to cardiac dysrhythmias (EMBOLISM)
13. Some manifestations of ischemic stroke include:: Numbness or weakness of face, arm, or
legs
aphasia
vision loss
mental status change
change in communication
14. Interventions for ischemic strokes:: Body positioning to prevent contractures and compressive
neuropathies
ROM 4-5 times a day to prevent DVTs, or VTEs,
15. Hemorrhagic strokes are caused by: Bleeding in the brain secondary to chronic HTN or an
aneurysm
16. Some manifestations of hemorrhagic strokes include: having the "worst headache of
my life"
alteration of LOC
seizures
sudden onset of agitation (priority)
changes in pupils
17. Being unarousable, unconsciousness, and unresponsiveness are indicators
of: Coma
18. Unresponsiveness to environment, makes no movement or sounds but can
open eyes is called _______: Akinetic mutism
19. devoid of cognitive function but has sleep-wake cycles: persistent vegetative state
20. •inability to move or respond except for eye movements due to a lesion
affecting the pons: Locked-in syndrome
, NSG-3250 EXAM 3
Study online at https://quizlet.com/_d97iyh
21. Increased Intracranial Pressure (ICP): an increase in fluids around the brain which causes
pressure due to nonexpendable skull, less arterial blood can enter the "high pressure" area and tissue becomes
compressed, decrease function of neurons, brain tissue eventually dies, leads to widespread loss of function
22. Brain tissues may shift through the dura and result in: herniation
23. increased CO2 results in: vasodilation
24. Decreased CO2 results in: vasoconstriction
25. Episodes of abnormal motor, sensory, autonomic, or psychic activity that re-
sults from a sudden excessive discharge from cerebral neurons is called: seizures
26. Neuro overload, lack of sleep, brain tumor, electrolyte imbalance, alcohol
withdrawal are risk factors for: seizures
27. Staring or subtle body movement and brief loss of consciousness are ________
seizures: absence (Petit mal)
28. Sudden twitching or jerks of arms or legs are types of _______ seizures: myoclonic
seizures
29. Loss of normal muscle tone, suddenly collapse or fall are ________ seizures: -
Atonic (drop seizures)
30. The most intense type that causes LOC, intermittent stiffening or shaking,
and loss of bladder control indicate __________ seizures: Tonic-clonic (grand mal)
31. The responsibility of the nurse during a seizure episode is to _______________-
: observe and record the signs and sequence of events
32. Dilantin (phenytoin) therapeutic range: 10-20 mcg/mL
33. If phenytoin levels are below 10, what do you administer?: Dilantin
34. After the seizure (postictal), what should the nurse do?: assess airway and positioning
Also, turn patient on their side or start suctioning to prevent aspiration
Check vitals
perform neuro assessment
35. During a seizure, DO NOT ______ or _______: open mouth
restrain patient
