RNUR 238 EXAM 4 QUESTIONS AND ANSWERS GRADED A+

What is the worst score on the GCS - Answer-3 What layer protects the brain and spinal cord - Answer-Meninges How synapse happen - Answer-via chemical and electrical signals ( action potential) parasympathetic nervous system - Answer-rest and digest What nerve does the romberg test-test - Answer-cranial nerve 8 Pt. teaching for CT scan - Answer-must keep head completely still for imaging MRI uses what type of field - Answer-Magnetic field A SPECT is contraindicated in who? - Answer-pregnant woman Cerebral Angiography involves a catheter inserted into _______________ artery (groin stick) so monitoring for s/s of _______ or _________ after - Answer-femoral bleeding or hematoma Since dye is used in Cerebral Angiography monitor __________________ pre and post procedure - Answer-kidney function (BUN/creatinine) EEG measures _______________ activity of the brain - Answer-electrical Eating is allowed prior to EEG, but no________ - Answer-caffeine including chocolate or decaf. NO coffee, tea, chocolate chip cookieslumbar puncture fluid should be - Answer-clear and colorless How long should a lumbar puncture pt. lay on their side_____________ and what does it prevent? - Answer-2 hrs spinal headaches- allows site to heal and close what is the # 1 s/s complication of lumbar puncture - Answer-spinal headaches introducing the needle into the skin during lumbar puncture causes risk for? - Answer-infection What position should the pt. lay in to obtain CSF - Answer-C shape allows them to get in between the vertebra easier what is the outer protective layer of the cell body that is covering the axon - Answer-Myelin sheath Regular oral hygiene is an essential intervention for the client who has had a stroke. Which of the following nursing measures is inappropriate when providing oral hygiene? A. Placing the client on the back with a small pillow under the head. B. Keeping portable suctioning equipment at the bedside. C. Opening the client's mouth with a padded tongue blade. D. Cleaning the client's mouth and teeth with a toothbrush. - Answer-A. Placing the client on the back with a small pillow under the head. A 78-year-old client is admitted to the emergency department with numbness and weakness of the left arm and slurred speech. Which nursing intervention is a priority? A. Prepare to administer recombinant tissue plasminogen activator (rt-PA). B. Discuss the precipitating factors that caused the symptoms. C. Schedule for A STAT computer tomography (CT) scan of the head.D. Notify the speech pathologist for an emergency consultation. - Answer-C. Schedule for A STAT computer tomography (CT) scan of the head A client arrives in the emergency department with an ischemic stroke and receives tissue plasminogen activator (t-PA) administration. Which is the priority nursing assessment? A. Time of onset of current stroke B. Complete physical and history C. Current medications D. Upcoming surgical procedures - Answer-A. Time of onset of current stroke