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43 Cards in this Set
- Front
- Back
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what is the central nervous system |
brain and spinal cord |
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what is the sympathetic nervous system |
fight/flight |
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what is the parasympathetic nervous system |
-digestion -calms down |
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what is the lowest score on glasgow? highest score? what do you do if you see a change? |
3-15 -call provider |
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what is the most important indicator in the neuro status |
Level of conciousness |
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how do you assess mental status |
are the behaviors normal? |
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what is not part of the mental status |
memory, affect, pupil changes |
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what is ataxia? how do you test? |
inability to coordinate voluntary muscle action -test by clients gait -test by leg to heel movement |
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what is a decorticate position |
flexion |
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what is an aura? what sensations may be present? |
feeling proceeding seizure -taste, visual, smell ect. |
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how do you test for meningitis? |
lumbar puncture |
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how should the environment be for meningitis |
quiet, dark room allows for minimal stimulation to brain |
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what do you teach a client about anticonvulsants |
good oral hygiene
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what is the most common nurse intervention for progressive neuro disorders such as parkinsons or MS |
do as much as they can for as long as they can |
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what exacerbates MS |
Stress |
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what are the early Signs and symptoms for ICP |
headache confusion, nausea, vomiting |
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what is contraindicated with ICP |
nasal suctioning |
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what is a TIA |
temporary stroke (Mini stroke), sometimes proceeding CVA |
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if a resident has clear fluid coming out of ears and nose after an accident what would be appropriate for a nurse to assume |
ICP |
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what is patient teaching for glaucoma |
take eye-drops as indicated, if they are not taken as recommended they can cause increased pressure and lead to blindness |
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what do hearing aids do? |
make things louder, they do not CLARIFY words |
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what is a nursing intervention for hearing impaired? |
speak slow, move down to their level, close, eye contact, dont use medical terms |
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what is conductive hearing loss? |
-outersensory -ex. earwax. -occurs from sound waves being blocked |
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what would a cochlear implant suggest? |
sensory hearing loss |
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what helps with conductive hearing loss |
inner ear tubes |
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what are the classic S/s of meniers |
hearing loss, tinnitus, vertigo -cannot cure |
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what are the classic signs and symptoms of tumor acoustic neuroma |
hearing loss, tinnitus, dizziness -can cure by taking tumor out |
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what do you monitor blood counts for |
cancer, |
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what does a patient with cachexia look like? what can cause this? |
malnourished-cancer can cause |
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what do you ask a person with cachexia |
what they like to eat, help formulate a diet plan with them |
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what is the best way to treat pain |
to prevent it, ask client to let you know when pain is lower on the scale before it becomes an 8 |
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the risk factors for cancer that cannot be changed |
-age -genes -race ect. |
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how do you help a client with a external radiation device? |
avoid use of deodorants, lotions, perfumes, clean with mild soap |
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food that increases cancer? |
??? |
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what do LPNS do with chemo PICC lines? what do you do if the patient is showing signs of infiltration with PICC line |
do not turn on/off a certified nurse/rn has to -report to RN |
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what is thrombopocynepenia |
decreased platelets -these patients are more likely to bleed -soft toothbrush -think anticoagulant cares |
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what are foods with potassium |
banana, potatoes with skin, sports drinks |
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why does WBC go down on chemo |
because the chemo effects hair, mucous membranes and bone marrow, because it effects the bone marrow it effects the WBCs |
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when do side effects occur during radiation? |
after therapy |
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what is neurtropenia (SELECT ALL) |
-decrease in WBC -immunosuppressed -precaution by telling visitors to not come in if sick, no raw fruits or veggies, ex. well cooked foods (welldone), potatoes(without skin), jello |
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assessment of SCI (SELECT ALL) |
-bowel/ bladder especially above t-6 -resp -skin -psychosocial -home environment |
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what to do when pt. has seizure? |
turn head to side, suction, do not restrain, do not put anything in mouth, do not turn to back |
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myasthenia gravis |
-no cure -steroids do not cure -similar to MS -resp problems -temp problems |
