MED SURG 3 NEURO/197 QUESTIONS AND ANSWERS

functions of nervous system - √Answer :controls all motor sensory, autonomic, cognitive, behavioral activities Quiz :parasympathetic nervous system - √Answer :rest and digest : constricts the pupils Quiz :altered LOC - √Answer :most important indicator of pt condition cont from full alertness and full cognition to coma Quiz :coma - √Answer :unresponsive, unarousable, unresponsiveness Quiz :assess of altered LOC - √Answer :assess verbal response and orientation, alertness, motor response, respiratory status, eye signs, reflexes, postures, GCS, CN Quiz :eye movement CN - √Answer :3, 4, 6 Quiz :CN 5 - √Answer :trigeminal (face sensation) Quiz :CN 7 ` - √Answer :facial, salivation Quiz :CN 8 - √Answer :Vestibulocochlear : hearing, balance Quiz :CN 9 Glossopharyngeal - √Answer :swallowing and gag reflex Quiz :glasgow coma scale - √Answer :motor: 6, verbal:5, eye opening: 4 coma: 8 or less Quiz :Decordicate posturing - √Answer :arms flexed and legs internally rotated Quiz :Decerbrate - √Answer :arms pronated Quiz :Cerebral angiography (CT w contrast) - √Answer :ident aneuy, vascular malformations, narrowed vessels Quiz :cerebral angiography prep - √Answer :lie flat, dye into femoral arterty (BUN/creat, hydration) Quiz :post cerebral angiography - √Answer :neuro assessment q 15-30 until vitals stable and site q 1 hour neurovascular assess keep flat 12-24 h, Quiz :lumbar puncture - √Answer :at L3-L4 into subarachnoid space lateral recumbent fetal position Quiz :Transcranial doppler - √Answer :cerebral blood flow can assess vasospasm, oculsive vessel syn, brain death Quiz :post lumbar puncture - √Answer :neuro checks q 15-30 mins flat for several hours PO fluids to 3000 ml oral pain meds for HA dressing for bleeding or drainage assess for HA when sitting upright after (CSF lesk) Quiz :complications of lumbar puncture - √Answer :brainstem herniation Quiz :what test to do before lumbar puncture - √Answer :CT scan to see if space occuying lescion present Quiz :EEG test - √Answer :records elect activity of the brain done by tech in quiet room hold tranq / stimulants (inc coffee) keep awake the night before test WASH HAIR AFTER Quiz :CT scan - √Answer :detects hemmorhage, infraction, abcess, tumor immobile during exam, flushing / warm during dye Quiz :Myelogram test - √Answer :visualizes spinal cord and subarach space NPO 4-6 hours before allergy hx(iodine / shellfish) if CSF leak = blood patch CNS depres held 48 hours before table moved to various positions and lie on back