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48 Cards in this Set
- Front
- Back
The uncontrollable writhing and twisting movements of the body in Huntington's disease are called ____movements
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Choreiform
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Clients taking ____should be advised against high intakes of protein and vitamin B6.
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Levodopa
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Loss of sympathetic reflex activity below the level of injury within minutes of a spinal injury is called ____.
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Areflexia
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The technique that electrically separates and identifies proteins, demonstrates abnormal immunoglobulin G bands, described as oligoclonal bands, in CSF
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Electrophoresis
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headache, ipsilateral pupil change, and contralateral hemiparesis
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Epidural Hematoma
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ipsilateral pupil change, decreased extraocular muscle movement, and contralateral hemiparesis, with periodic lapses of memory, confusion, drowsiness, and personality changes
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Subdural Hematoma
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Classic signs of IICP include headache, vomiting, seizures, posturing, hyperthermia, and irregular bleeding
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Intracerebral Hematoma
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Conserves body energy and is partly responsible for slowing the heart rate, digestion, and elimination of body wastes
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Parasympathetic nervous system
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Regulates the expenditure of body energy in response to stressful situations(adrenaline)
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Sympathetic nervous system
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Why is skin traction used in clients with spinal nerve root compression
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Skin traction is used to decrease severe muscle spasm, increase the distance between the adjacent vertebrae, and keep the vertebrae correctly aligned
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Complications associated with an intracranial surgery include
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cerebral edema, infection, neurogenic shock, fluid and electrolyte imbalances, venous thrombosis, IICP, seizures, leakage of cerebrospinal fluid, and stress ulcers and hemorrhage.
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Evaluate the airway, breathing, circulation, and the LOC
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assessment of neurological deficit
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a sensory phenomenon that precedes the migraine headache by approximately 10 to 30 minutes
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aura
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The signs of an impending stroke include
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numbness or weakness of one side of the face, an arm, or leg; mental confusion; difficulty speaking or understanding; impaired walking or coordination; and severe headache.
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These exercises are recommended for clients with impaired physical mobility related to muscle weakness and paralysis
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ROM
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prevent contractures and muscle atrophy in clients with impaired physical mobility.
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ROM exercises
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Barbiturate coma therapy lowers metabolic brain requirements, and the resultant sedation contributes to
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hypotension, pneumonia, hypoxia, and respiratory depression.
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Moving the client incorrectly can permanently damage the
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spinal cord
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In spinal cord trauma,_____may lead to cord compression that may permanently damage the cord
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edema
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SPECT gives information about ______before they are visible with other imaging techniques
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cerebral blood flow, receptors for neurotransmitters, and lesions
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A client with a ruptured cerebral aneurysm is advised
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strict bed-rest without disturbance
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the head of the bed is elevated to reduce ICP and cerebral edema in the client with a
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ruptured cerebral aneursym
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Common signs of IICP include
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behavioral alterations, sleepiness, personality changes, vomiting, and speech or gait disturbances.
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bradykinesia, mask-like expression, stooped posture, hypophonia (low volume of speech), difficulty swallowing saliva, weight loss, a shuffling gait, difficulty turning or redirecting a forward motion, and rigidity in arms while walking
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Parkinson's s/s
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Early signs of Parkinson's disease include
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stiffness, referred to as rigidity, and tremors of one or both hands
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what precautions should the nurse take to minimize the risk for disuse syndrome?
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Position the client to avoid joint contractures and foot drop
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What cranial nerve Transmits the sense of smell
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one(olfactory)
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What cranial nerve Transmits visual information to the brain;
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Optic cranial nerve 2
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What cranial nerve perform most eye movements
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cranial nerve 3(ocularmotor)
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What cranial nerve Receives sensation from the face and innervates the muscles of mastication
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Trigeminal Cranial nerve 5
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Provides motor innervation to the muscles of facial expression and stapedius, receives the special sense of taste
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Facial nerve 7
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Senses sound, rotation and gravity (essential for balance & movement
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cranial nerve 8 (Vestibulocochlear)
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cranial nerves responsible for swallowing or gag reflex
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9 and 10
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inability to shrug, weak head movement is related to damage of which cranial nerve
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11 Accessory nerve
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In herniation syndrome, which is indicative of brain herniation, _____ posturing occurs
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decorticate
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decorticate posturing occurs, and, if the condition is left untreated, develops into ____ posturing
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decerebrate
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elbows, wrists and fingers flexed, and legs extended and rotated inward
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Decorticate posturing
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The most common symptoms of meningitis are
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headache
neck stiffness photophobia phonophobia |
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A ____may be used to diagnose or exclude meningitis
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lumbar puncture
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treatment for meningitis is the prompt application of ___and sometimes ___ drugs. In some situations, ___ drugs
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antibiotics
antiviral corticosteroid |
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Cushing's triad is a sign of
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increased intracranial pressure
and is a medical emergency |
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widening pulse pressure
decreased respirations decreased HR |
cushing's triad
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triad is important in emergency medicine because it suggests severe ___ in the brain
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ischemia
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Impulsive behavior indicates
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right sided brain injury
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left side neglect indicates
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right sided brain injury
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What illness is associated with dopamine depletion
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parkinson's
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Treatment for autonomic dysreflexia
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elevated HOB
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a condition characterized by a massive sympathetic discharge that can occur in association with spinal cord injury
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Autonomic dysreflexia
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