Med Surge - Test 5 Left Vs Right Hemisphere, Strokes

Front 1

Would the patient have a stroke in the left or right Hemisphere if they have these s/s?

expressive aphasia

Back 1

left

inability to speak remebereed words

the pt knows what to say but can't initiate it

Front 2

Would the patient have a stroke in the left or right Hemisphere if they have these s/s?

alexia

Back 2

left


cant understand written language

Front 3

Would the patient have a stroke in the left or right Hemisphere if they have these s/s?

agraphia

Back 3

left


difficulty writing

Front 4

Would the patient have a stroke in the left or right Hemisphere if they have these s/s?

slow and cautious

Back 4

left

Front 5

Would the patient have a stroke in the left or right Hemisphere if they have these s/s?

depression and anxiety

Back 5

left

Front 6

Would the patient have a stroke in the left or right Hemisphere if they have these s/s?

anger and frustration

Back 6

left

Front 7

Would the patient have a stroke in the left or right Hemisphere if they have these s/s?

aware of their deficits

Back 7

left

Front 8

Would the patient have a stroke in the left or right Hemisphere if they have these s/s?

the hemisphere that is responsible for language, math, and thinking skills

Back 8

left

Front 9

Would the patient have a stroke in the left or right Hemisphere if they have these s/s?

aphasia

Back 9

left

inability to use or comprehend language

Front 10

Would the patient have a stroke in the left or right Hemisphere if they have these s/s?

involved in visual and spatial awareness and proproception

Back 10

right

Front 11

Would the patient have a stroke in the left or right Hemisphere if they have these s/s?

unaware of deficits

Back 11

right

Front 12

Would the patient have a stroke in the left or right Hemisphere if they have these s/s?

disoriented

Back 12

right

Front 13

Would the patient have a stroke in the left or right Hemisphere if they have these s/s?

impulsivity

Back 13

right

Front 14

Would the patient have a stroke in the left or right Hemisphere if they have these s/s?

poor judgement

Back 14

right

Front 15

Would the patient have a stroke in the left or right Hemisphere if they have these s/s?

euphoria

Back 15

right

Front 16

Would the patient have a stroke in the left or right Hemisphere if they have these s/s?

denial of illness

Back 16

right

Front 17

Would the patient have a stroke in the left or right Hemisphere if they have these s/s?

over estimation of injuries

Back 17

right

Front 18

Would the patient have a stroke in the left or right Hemisphere if they have these s/s?

loss of depth perception

Back 18

right

Front 19

what kind of stroke

most often signled by TIAs

Back 19

thrombotic

Front 20

what kind of stroke

strong association with hypertension and the development of atherosclerosis of the blood vessels

Back 20

thrombotic

Front 21

what kind of stroke

bifurcation of common carotid artery and vertebral arteries at their juction with the basilar artery are most commonly involved

Back 21

thrombotic

Front 22

what kind of stroke

more than half of all strokes

Back 22

thrombotic

Front 23

what kind of stroke

slow onset

Back 23

thrombotic

Front 24

what kind of stroke

related to carotid atherosclerosis

Back 24

embolic

Front 25

what kind of stroke

associated with endocardial disorders

Back 25

embolic

Front 26

what kind of stroke

usual source is the heart

Back 26

embolic

Front 27

what kind of stroke

plaque breaks off carotid sinus or internal carotid artery

Back 27

embolic

Front 28

what kind of stroke

1/3 of all strokes

Back 28

embolic

Front 29

what kind of stroke

middle cerebral artery is most commonly involved

Back 29

embolic

Front 30

what kind of stroke

sudden focal neurological deficits, then clearing of symptoms over hours/days

Back 30

embolic

Front 31

what kind of stroke

rupture of atherosclerotic blood vessels

Back 31

hemorrhagic

Front 32

what kind of stroke


creates a mass the compresses the brain

Back 32

hemorrhagic

Front 33

what kind of stroke

caused by a rupture of an aneurysm, severe hypertension, or ruptured AVM

Back 33

hemorrhagic

Front 34

what kind of stroke

associated with sudden, severe headache

Back 34

hemorrhagic

Front 35

what kind of stroke


vessel integrity is disrupted

Back 35

hemorrhagic

Front 36

hydrocephalus is due to what?

Back 36

dilation of the cerebral ventricles which prevents CSF absorption

Front 37

what hematoma is a "quiet killer"

Back 37

subdural. they may not have a lot of s/s.

increase in ICP while also causing cerebral anoxia

Front 38

symptoms of increased ICP

pupil changes

Back 38

dilated and nonreactive

Front 39

symptoms of increased ICP

blood pressure changes

Back 39

increasing systolic with either stable or decreasing diastolic

Front 40

symptoms of increased ICP

temperature

Back 40

an increase in temp

Front 41

symptoms of increased ICP

hypotensive or hypertensive

Back 41

hypertensive

Front 42

symptoms of increased ICP

what happens to RR?

Back 42

decreases

Front 43

symptoms of increased ICP

what happens to HR?

Back 43

decraeses

Front 44

symptoms of increased ICP in children

3 common changes

Back 44

fontanel is bulging

nasuea

projecting vomiting

Front 45

respirations associated with brain injury

cheyne-respirations can be caused by (2)

Back 45

central herniation of brain stem

metabolic imbalance

Front 46

vitals signs/brain injury

pulse

Back 46

thready, irregular, and rapid (indicates increased ICP)

Front 47

epidural hematoma vs subdural ematoma

hematoma between dura and skull

Back 47

epidural

Front 48

epidural hematoma vs subdural ematoma

results from an arterial bleed

Back 48

epidural

Front 49

epidural hematoma vs subdural ematoma

may be caused by a fracture of the temporal bone

Back 49

epidural

Front 50

epidural hematoma vs subdural ematoma

the patient loses consciousness at the time of injury and then regained it. now, the client has lost consciousness again

Back 50

epidural

Front 51

epidural hematoma vs subdural ematoma

if treated promptly, they can make full recovery.

Back 51

epidural

Front 52

epidural hematoma vs subdural ematoma

if not treated right away, herniation occurs

Back 52

epidural

Front 53

epidural hematoma vs subdural ematoma

symptoms may increase to a coma

Back 53

epidural

Front 54

epidural hematoma vs subdural ematoma

hematoma between the brain and dura

Back 54

subdural

Front 55

epidural hematoma vs subdural ematoma

results from venous bleeding

Back 55

subdural

Front 56

epidural hematoma vs subdural ematoma

bleeding occurs slowly

Back 56

subdural

Front 57

epidural hematoma vs subdural ematoma

they are insidious

Back 57

subdural

operating or proceeding in an inconspicuous or seemingly harmless way but actually with grave effect

Front 58

epidural hematoma vs subdural ematoma

associated with diffuse brain injury and cerebral edema

Back 58

subdural

Front 59

epidural hematoma vs subdural ematoma

associated with immediate coma

Back 59

subdural

Front 60

epidural hematoma vs subdural ematoma

can be the result of a ventriculoperitoneal shunt

Back 60

subdural

Front 61

epidural hematoma vs subdural ematoma

occurs in 3 phases
-acute
-subacute
-chronic

Back 61

subdural

acute: within 48 hrs after injury
subacute: 48 hrs - 2 weeks
chronic: 2 weeks to months

Front 62

epidural hematoma vs subdural ematoma

commonly seen in the elderly population

Back 62

subdural

Front 63

epidural hematoma vs subdural ematoma

have the highest mortality rate

Back 63

subdural

Front 64

Hematomas

hypotension or hypertension

Back 64

hypotension

Front 65

Hematomas

reflex activity

Back 65

positive babinski

positive kernigs

Front 66

Hematomas

pupil changes

Back 66

ipsilateral pupil dilation

Front 67

Hematomas

CSF drainage

Back 67

will have a halo around it

Front 68

Nuchal rigidity tells you what?

Back 68

may indicate infection or blood in the cerebral region.

seen in hematomas

Front 69

Hematomas

weakness seen where

Back 69

contralateral extremity weakness

Front 70

Hematomas

Carbon dioxide
Oxygen
BP

Back 70

hypercapnia

hypoxia

hypotension

Front 71

Brain herniation

shift in temporal lobe, pressure on 3rd CN

Back 71

uncal

Front 72

Brain herniation

dilated and nonreactive pupils

Back 72

uncal

Front 73

Brain herniation

downward shift in brainstem

Back 73

central

Front 74

Brain herniation

cheyne-stroke respirations & nonreactive pinpoint pupils

Back 74

central

Front 75

Brain herniation

medulla is compressed

Back 75

infratentorial

Front 76

Brain herniation

respiratory compromise
cardiac arrestr

Back 76

infratentorial

Front 77

Know 2 s/s that indicate herniation

Back 77

dilated nonreactive pupils

rapidly deteroriating LOC

Front 78

Brain herniation

what type is the most life threatning type of herniation

Back 78

uncal herniation

Front 79

complication from ventriculoperitoneal shunt is __________ hematoma

Back 79

subdural