NR 328 Neurological Notes From class (Exam 3 Concept) Answered Spring 2022.

NR 328 Neurological Notes From class (Exam 3 Concept) What neurological Hx assessments should a nurse obtain? What head physical assessments should be obtained in a neuro assessment? - - What general muscle utilization assessments should be obtained in a neuro assessment? What response assessments should be obtained in a neuro assessment? What should be assessed about the eyes in r/t neuro assessments? What scale should be utilizes in a neurological assessment? What does the Glasgow Coma Scale measure? What Glasgow Coma Scale rating indicated intubation is needed? What is the definition of Bacterial Meningitis? What parts of the body are impacted by Bacterial Menegitis? What is the function of the Meninges? What can cause Bacterial meningitis? What Isolation precautions should be utilized with Bacterial meningitis? How is Bacterial meningitis spread? What parts of the brain/spinal chord are impacted by Bacterial meningitis? - - What Systemic s/s occur w/ Bacterial meningitis? What neck s/s are r/t Bacterial meningitis? What behavioral s/s occurs w/ Bacterial meningitis? What sensitivity s/s occur w/ Bacterial meningitis? What occurs to the Fontanels as a s/s of Bacterial meningitis? What signs are positive if Bacterial meningitis is occurring? What indicates a positive Brudzinski sign? What indicates a positive Kernig sign? What rash s/s occurs with Bacterial meningitis? What does Purpura Rashes look like? What IV fluids should be administered as ordered with Bacterial meningitis? - - Steroids What should a nurse monitor with Bacterial meningitis? What Precautions should be implemented with Bacterial meningitis? What should be encouraged r/t the environment with Bacterial meningitis? - - What are the most severe complications of Bacterial meningitis? What brain complications can occur w/ Bacterial meningitis? What sensory complications can occur w/ Bacterial meningitis? What type of disabilities are associated w/ complications of Bacterial meningitis? - What LOC complications can occur w/ Bacterial meningitis? How is Bacterial meningitis diagnosed? What position should a patient having a lumbar puncture be placed in most of the time to receive the LP? What is the only other position, except for side-lying, that a patient can be placed in for a lumbar puncture? - What position must a patient be in immediately after a lumbar puncture? - - For how long should a patient remain in the supine position post-op of a lumbar puncture? What does laying in a supine position allow for post-op of a lumbar puncture? - - How can we keep a patient in a supine position immediately post-op of a lumbar puncture? What can occur if a patient does not stay in a supine position following a Lumbar puncture? What should a nurse do if a patient, who is post-op for a lumbar puncture, notices clear fluid leaking from the puncture site? What will a patient, who is post-op for a lumbar puncture and leaking CSF from the puncture site, receive? What behavioral s/s occurs with INFANTS who have increased ICP? What type of cry s/s occurs with INFANTS who have increased ICP? What type of feeding s/s occurs with INFANTS who have increased ICP? WHEN will a infant cry as a s/s that the INFANTS has increased ICP? What fontanel s/s occurs with INFANTS who have increased ICP? What Head circumference s/s occurs with INFANTS who have increased ICP? What LOC s/s occurs with INFANTS who have increased ICP? What systemic s/s occurs with Children who have increased ICP? What causes the vomiting to occur as a s/s of Children who have increased ICP? - - What vision s/s occurs with Children who have increased ICP? What social s/s occurs with Children who have increased ICP? What LOC s/s occurs with Children who have increased ICP? How are motor skills impacted as a s/s of Children who have increased ICP What occurs to the BP as a s/s of increased intracranial pressure? - - Increase in blood pressure occurs What occurs to the Pulses as a s/s of increased intracranial pressure? What cardiac s/s occur with late increased ICP? What pupil s/s occur with late increased ICP? What other s/s occur with late increased ICP? What organs are impacted by Reye Syndrome? What might Reye Syndrome follow? What is Reye Syndrome associated with? What will a patient need if Reye Syndrome is suspected? What LOC s/s occur w/ Reye Syndrome? What behavioral s/s occur w/ Reye Syndrome? What occurs to the coagulation time with Reye Syndrome? What lab values will be elevated w/ Reye Syndrome? What precautions will be needed with Reye Syndrome? What type of environment will accommodate the minimal stimulation needed for Reye Syndrome? What medications will a patient need w/ Reye Syndrome? Why are osmotic diuretics utilized for Reye Syndrome? Why is vitamin K needed for Reye Syndrome? What is the definition of a seizure? What are the three classifications of a seizure? What brain risk factors increase the patient's risk for seizures? What does Anoxia mean? What other, non-brain related risk factors, put a patient at risk for seizures? - - What electrolyte imbalances put a patient at risk for seizures? What level of glucose puts a patient at risk for seizures? What level of calcium puts a patient at risk for seizures? What level of sodium puts a patient at risk for seizures? What magnesium level puts a patient at risk for seizures? What metabolic imbalances puts a patient at risk for seizures? What should be recorded about seizures by a nurse? What Antiepileptic should a patient received for an ACTIVE seizure? What type of diet should a patient utilize who has seizures? What is a ketogenic diet? What implantation device should be utilized if a patient cannot control and/or the brain cannot quit seizing? What is a vagus nerve stimulation? What is a complication of Seizures? What is the definition of Status Epilepticus? If a patient has Status Epilepticus, what portion of the seizure might be prolonged? What occurs during the post ictal stage of a seizure? What are some types of seizures? What is the definition of Hydrocephalus? What does hydrocephalus cause? What is utilized to dx hydrocephalus? What should be surgically placed to treat Hydrocephalus? What does a ventricular peritoneal shunt do? What s/s occurs indicating a ventricular peritoneal shunt has malfunctioned? - - What should be implemented if a ventricular peritoneal shunt malfunctions? If a patient has an external ventricular shunt, what should be increased? If a ventricular peritoneal shunt malfunctions, what is a complication? What needs to occur with ventricular peritoneal shunt as the patient ages?