Nervous System

Front 1

In the patient with a disease that affects the myelin sheath of nerves, such as multiple sclerosis, the glial celss that are affected are the ______?

Back 1

oligodendrocytes

Front 2

A state of hypoxia alters the repeated action potentials neccessary for transmission of nerve impulses because energy is required for _____?

Back 2

maintenance of the resting membrane potential

Front 3

Drugs or disease that impair the function of the extrapyramidal system may cause loss of _____?

Back 3

automatic movements associated with skeletal

Front 4

An obstruction of the anterior cerebral arteries will affect funtions of ____?

Back 4

judgement, insight, and resoning.

Front 5

Paralysis of lateral gaze indicates a lesion of cranial nerve ______?

Back 5

III

Front 6

A result of stimulation of the parasympathetic nervous system is ________?

Back 6

increase secretion of insulin.

Front 7

Assesment of muscle strength of older adults cannot be compared with that of younger adults because _______?

Back 7

aging leads to a decrease in muscle bulk and strength.

Front 8

Data regarding mobility, strength, coordination, and activity tolerance are important for the nurse to obtain because ______?

Back 8

many neurologic diseases affect one or more of these areas.

Front 9

During neurologic testing the patient is able to perceive pain elicted to pinprick. Based on this finding, the nurse may omit testing for ____?

Back 9

temperature perception

Front 10

A patient's eyes jerk as they follow the nurse's moving finger. The nurse records this findings as _____?

Back 10

nystagmus

Front 11

Of the following patients, the nurse recognizes that the one with the highest risk for a stroke is ____?

Back 11

a 65 year old African American man with hypertension.

Front 12

The factor related to cerebral blood flow that most often determines the extent of cerebral damage from a stroke is the ______?

Back 12

degree of collateral circulation.

Front 13

Information provided by the patient that would help differentiate a hemorrhagic stroke from a thrombotic stroke includes ______?

Back 13

sudden onset of severe headache.

Front 14

A patient with right sided hemiplegia and asphasia resulting from a stroke most likely has involvement of the ______?

Back 14

left middle cerebral artery.

Front 15

The nurse explains to the patient with a stroke who is scheduled for angiography that this test is used to determine the ______?

Back 15

patency of the cerebral blood vessels.

Front 16

A patient experiencing TIAs is scheduled for a carotid endarterectomy. The nurse explains that this procedure is done to _____?

Back 16

prevent a stroke by removing atheroslerotic plaques blocking cerebral blood flow.

Front 17

Nursing management of the patient with hemiplegia during the acute phase of a stroke includes _______?

Back 17

positioning each joint higher than the proximal joint.

Front 18

Bladder training in a male patient who has urinary incontinence after a stroke includes ______?

Back 18

assisting the patient to stand to void.

Front 19

The most common response of the stroke patient to change in body image is ______?

Back 19

depression.

Front 20

The nurse plans care for the patient with a migraine headache based on the knowledge that during a migraine the patient is most likely to _____?

Back 20

withdraw from stimuli.

Front 21

The triad of symptoms the nurse would expect to find during assessment of the patient with parkinson's disease is ______?

Back 21

tremor, rigidity, bradykinesia.

Front 22

During assessment of the patient with ALS, the nurse would expect to find ______?

Back 22

Muscle weakness and wasting.

Front 23

The emotional response of the patient with a chronic neurologic disease is often ______?

Back 23

a result of physical disability and changes in body image.

Front 24

A major goal of treatment for the patient with a chronic, progressive neurologic disease is ______?

Back 24

adaption by patient and family to the disease.

Front 25

Which of the following patients is most at risk for developing delirium _____?

Back 25

A 78 year old man admitted to the medical unit with complications related to congestive heart failure.

Front 26

Dementia is defined as a ______?

Back 26

syndrome characterized by cognitive dysfuntion and loss of memory

Front 27

Vascular dementia is associated with ____?

Back 27

cognitive changes secondary to cerebral ischemia.

Front 28

The clinical diagnosis of dementia is based on ______?

Back 28

patient history and cognitive assessment.

Front 29

The early stage of AD is characterized by ______?

Back 29

memory problems and mild confusion.

Front 30

A major goal of treatment for the patient with AD is to ______?

Back 30

maintain patient saftey.

Front 31

Cretzfeldt-Jakob disease is characterized by _______?

Back 31

Memory impairment, muscle jerks, and blindness.

Front 32

During assessment of the patient with trigeminal neuralgia, the nurse should _____?

Back 32

ask the patient to describe factors that initiate an episode.

Front 33

During routine assessment of a patient with Guillain-Barre syndrome, the nurse finds the patient to be shor of breath. The patients respiratory distress is caused by ______?

Back 33

paralysis ascending to the nerves that stimulate the thoracic area.

Front 34

A patiend is admitted to the ICU with a C7 spinal cord injury and diagnosed with Brown-Sequard syndrome. On physical examination, the nurse would most likely find _______?

Back 34

ipsilateral motor loss and contralateral sensory loss below C7

Front 35

A patient is admitted to the hospital with a spinal cord injury following an automoile accident. The nurse recognizes that the pathophysiology of secondary spinal cord injury involves ______?

Back 35

necrotic destruction of the cord from hemorrhage and edema.

Front 36

A rehabilitation goal for the patient with an injury at the C5 level includes ______?

Back 36

driving an electric wheelchair.

Front 37

A patient with a C7 spinal cord injury undergoing rehabilitiation tells the nurse he must have the flu because he has a bad headache and nausea. The initial action of the nurse is to ______?

Back 37

take the patient's blood pressure.

Front 38

For a 65 year old female patient who has lived with a T1 spinal cord injury for 20 years, the nurse would emphasize the following health teaching information: ______?

Back 38

A mammogram is needed every year.

Front 39

The most common early symptom of spinal cord tumor is ________?

Back 39

back pain that worsens with activity