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