Ms(T5-Neuro2)

Front 1

____ is a form of angiography that provides images of blood vessels in and around the brain. Lack of cerebral circulation is an important confirmatory test for cerebral death (brain death).

Back 1

Cerebral angiography

Front 2

____ is a condition caused by an optic nerve injury, in which the pupil of one eye differs in size from the pupil of the other.

Back 2

Anisocoria

Front 3

Allergies to shellfish, iodine, or dyes contraindicate the use of _____in CT

Back 3

contrast media

Front 4

The _____ controls the functions of the sternocleidomastoid and trapezius muscles. It is tested by asking the patient to shrug the shoulders and turn the head to either side against resistance.

Back 4

accessory nerve

Front 5

A _____ indicates the patient is having difficulty with balance. The nurse will want to inform the UAP that the patient is at risk for falls and will need assistance with activity.

Back 5

positive Romberg

Front 6

Because the ____ is responsible for higher cognitive function, an injury may illicit difficulty with memory retention, voluntary eye movements, voluntary motor movement, and expressive speech.

Back 6

frontal lobe

Front 7

_____ is a radiation technique that helps detect spinal lesions in patients.

Back 7

Myelogram

Front 8

The ___2___ tests are performed for precise assessment of hearing.

Back 8

Weber and Rinne

Front 9

Cranial nerves ___2___ control swallowing and the gag reflex.

Assessing the gag reflex and saying "ah" are used to assess this

Back 9

IX (glossopharyngeal) and X (vagus)

Front 10

____, located at the frontal lobe of the cerebrum, regulates verbal expression. Lesions in this area affect speech production.

Back 10

Broca's area

Front 11

To test the function of the _____, the nurse tests the visual acuity. If a Snellen chart is not available, asking the patient to read from a magazine or newspaper will give a gross assessment of acuity.

Back 11

optic nerve (CN II)

Front 12

When assessing a patient with a traumatic brain injury, the nurse notes uncoordinated movement of the extremities. How should the nurse document this assessment?

Back 12

Ataxia

Front 13

___ is the inability to recognize a bodily defect or disease related to lesions in the right parietal cortex.

Back 13

Anosognosia

Front 14

A 48-year-old man was just diagnosed with Huntington's disease. His 20-year-old son is upset about his father's diagnosis. How can the nurse best help this young man?`

Back 14

Provide emotional and psychologic support

Front 15

The drug should not be given to patients with a history or manifestations of ischemic cardiac, cerebrovascular, or peripheral vascular problems or uncontrolled hypertension, because it may increase blood pressure. In such patients, ____ should be replaced with another drug.

Back 15

sumatriptan (Imitrex)

Front 16

a ____ headache is the only one that has a throbbing headache with an aura

Back 16

migraine

Front 17

Which measure is a priority for a nurse to include in the plan of care for a patient who has multiple sclerosis?

Back 17

Assisting the patient in identifying the factors that precipitate exacerbations

Front 18

A nurse reviews the medical history with a patient and learns that the patient was diagnosed with restless legs syndrome. Based on this fact, which question should the nurse also ask?

Back 18

"Are you able to sleep well and feel rested?"

Front 19

Reducing the risk of ____ can help prevent respiratory infections that are a common cause of death from deteriorating muscle function. (ALS)

Back 19

aspiration

Front 20

Early symptoms of ____ disease include coarse resting tremors of the fingers and thumb, also known as pill-rolling movements. Akinesia (complete or partial loss of muscle movement), aspiration, and mental deterioration occur later in the disease process.

Back 20

Parkinson's

Front 21

A patient aged 20, who developed seizures after a head injury, tells the nurse he or she feels like he or she has lost control over his or her life since the seizures. Initially, what is the most appropriate response by the nurse?

Back 21

"Tell me about what you would like to do and how the seizures affect you."

Front 22

A male patient with a diagnosis of Parkinson disease (PD) has been admitted recently to a long-term care facility. Which action should the health care team take to promote adequate nutrition for this patient?

Back 22

Provide small, frequent meals throughout the day that are easy to chew and swallow.

Front 23

A patient displays jerky muscle movements of the extremities and is incontinent of bowel and bladder. The nurse recognizes that these clinical manifestations are associated with:

Back 23

Generalized seizures (grand mal)

Front 24

The nurse visits a patient who is being treated with phenytoin (Dilantin) for seizures. Which instruction is important to prevent precipitation of seizures in this patient?

Back 24

Do not stop the drug abruptly without consulting the health care provider.

Front 25

During a tonic-clonic seizure the patient becomes unconscious, has generalized stiffening (tonic phase), and then jerking (clonic phase). The most important nursing intervention is to _____. Suctioning equipment should be available.

Back 25

maintain the patient's open airway

Front 26

Which measure should the nurse initially include in the plan of care for a patient who has difficulty swallowing as a result of Parkinson's disease?

Back 26

Providing the patient with semisolid or soft foods

Front 27

The nurse assesses a patient for signs of petit mal or absence seizures. What is the classic sign of this seizure disorder?

Back 27

Vacant facial expression

Front 28

What is the nursing action of highest priority to be taken with a patient who experiences a generalized tonic/clonic seizure?

Back 28

Protecting the head and extremities

Front 29

A patient with multiple sclerosis has an exacerbation of sensory deficits. Which nursing diagnostic statement should be assigned highest priority?

Back 29

Risk for injury

In multiple sclerosis, one side is usually affected more than the other. Therefore the gait is unsteady, so the risk for falls is increased.

Front 30

A group of patients who have a high risk of developing Alzheimer's disease attend adult day care. What interventions would help keep their brains healthy? Select all that apply. 3

Back 30

Exercise regularly

Learn new skills

Solve crossword puzzles

Front 31

The nurse is working in a health care facility with patients with neurologic disease. The nurse understands that some neurologic diseases may be curable if detected early. Which disease, if detected early, is curable?

Back 31

Normal pressure hydrocephalus

Front 32

Which nursing intervention is most appropriate when caring for patients with dementia?

Back 32

Give simple directions, focusing on one thing at a time

Front 33

A patient with Alzheimer's disease has difficulty eating and swallowing. What nursing interventions are appropriate to help this patient? Select all that apply.

Back 33

Remind the patient to chew and swallow the food

Use pureed foods and thickened liquids

Use easy-grip utensils

Front 34

A 59-year-old female patient, who has frontotemporal lobar degeneration, has difficulty with verbal expression. One day she walks out of the house and goes to a gas station to get a soda, but does not understand that she needs to pay for it. What is the best thing the nurse can suggest to this patient's husband to keep the patient safe during the day while the husband is at work?

Back 34

Adult day care

Front 35

The patient has been diagnosed with the mild cognitive impairment stage of Alzheimer's disease. What nursing interventions should the nurse expect to use with this patient?

Back 35

Use a calendar and family pictures as memory aids

Front 36

A spouse of a patient, just diagnosed with Alzheimer's disease in the mild stage, asks the nurse how to plan for the future and make treatment decisions. Select the correct information the nurse should give the spouse.

Back 36

Health care decisions, including advanced directives, should be made while the patient is able to participate in the decision- making.

Front 37

The nurse is caring for a 70-year-old patient. What are the symptoms of dementia that the nurse should be observant for? Select all that apply.

Back 37

Abrupt changes in behavior

Cognitive dysfunction

Memory loss

Front 38

For which patient should the nurse prioritize an assessment for depression?

Back 38

A patient in the early stages of Alzheimer's disease

Front 39

The nurse is teaching a group of caregivers about how to help patients with severe agitation in Alzheimer's disease. What are the teachings that the nurse should include in the plan? Select all that apply.

Back 39

Reassurance

Redirection

Distraction

Front 40

A nurse in a nursing home is caring for a patient with Alzheimer's disease. The patient, who is usually cooperative and calm, is agitated and refusing care from the nursing assistant. What action should the nurse do first?

Back 40

Perform a physical assessment, including monitoring vital signs and signs of pain.

Front 41

A nurse is teaching a group of caregivers about the guidelines for caring for a patient with dementia. What are the guidelines that the nurse should include in the teaching? Select all that apply.

Back 41

Treat with respect and dignity

Simplify tasks for easy understanding

Give directions using gestures or pictures

Front 42

A patient diagnosed with Alzheimer's disease is prescribed donepezil (Aricept). What is the purpose of this medication?

Back 42

Possibly slows the rate of cognitive decline.

Front 43

A nurse is caring for a patient with Alzheimer's disease in an adult day care facility. What are the nursing management goals that will help this patient? Select all that apply.

Back 43

Have dignity maintained

Maintain functional ability

Have personal care needs met

Front 44

_____ or peripheral facial paralysis, causes mouth droop and the inability to close the eyelid, usually on one side. A viral infection is thought to cause inflammation and eventually demyelination of the nerve.

Back 44

Bell's palsy,

Front 45

Which interventions should be included in the teaching plan for the patient with paraplegia who is discharged from a rehabilitation facility? Select all that apply.

Back 45

Inspect all skin areas on a daily basis using a mirror as necessary.

Change position at least every two hours.

Use pressure-relief devices while sitting.

Front 46

A patient with a history of prostate cancer is admitted to the hospital with severe back pain interfering with activity. A computerized tomography (CT) scan shows a metastatic tumor in the spine. Intravenous dexamethasone (Decadron) is prescribed. What is the desired effect of the medication?

Back 46

Decrease tumor-related edema.

Front 47

A person is injured in a motor vehicle accident and is brought into the emergency department. Which action by the nurse will limit the damage if a spinal cord injury (SCI) has occurred?

Back 47

Applying a rigid cervical collar and using a backboard to transport the patient.

This will will immobilize and stabilize the cervical spine to limit immediate injury to the spinal cord.

Front 48

A patient diagnosed with Guillain-Barré syndrome has a weak gag reflex. Which complication associated with a weak gag reflex should the nurse intervene for?

Back 48

Aspiration of food into the airways

Front 49

What body system is the major focus for nursing care of the patient with Guillain-Barré syndrome?

Back 49

Respiratory

Front 50

_____ is an autoimmune disease that destroys the myelin sheath covering peripheral nerves. Symptoms range from mild to severe, all the way up to full-body paralysis. Frequently the muscles controlling respiratory function are affected, resulting in respiratory failure. The disease causes rapid, progressive, symmetrical loss of motor function that ascends from the extremities to the head.

Back 50

Guillain-Barré syndrome

Front 51

After learning about rehabilitation for a spinal cord tumor, which statement shows the patient understands what rehabilitation is and can do for him or her?

Back 51

"With rehabilitation, I will be able to function at my highest level of wellness."

Front 52

A patient with a T3 level spinal cord injury has been discharged from the hospital with an indwelling catheter for neurogenic bladder. The nurse is teaching the patient regarding the care for indwelling catheters. What instructions should the nurse give regarding home care for indwelling catheters? Select all that apply.

3

Back 52

Cleanse the catheter regularly.

Check for signs of urinary tract infection (fever, change in odor or color of urine).

Check for the presence of any folds or kinks in the catheter tube.

Front 53

When planning care for a patient with a C5 spinal cord injury, which nursing diagnosis has the highest priority?

Back 53

Ineffective airway clearance caused by high cervical spinal cord injury

Front 54

A patient, injured at work with an open cut, asks the occupational health nurse whether a "tetanus shot" is needed. The nurse should base the response on which of the following facts?:

Back 54

When the patient last received a tetanus toxoid booster.

Front 55

What health promotion activity will have the greatest impact in the prevention of spinal cord injury (SCI) in adults 65 years and older?

Back 55

Fall prevention strategies

Front 56

A patient is admitted to the hospital after sustaining a C7 spinal cord injury. What is the most important nursing intervention during the acute stage of care?

Back 56

Maintaining a patent airway