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Questions and Answers
A patient cannot voluntarily move their right arm. Which area of the brain should the nurse suspect is affected?
A patient cannot voluntarily move their right arm. Which area of the brain should the nurse suspect is affected?
- Hypothalamus
- Frontal lobe (correct)
- Parietal lobe
- Cerebellum
A patient's impulses are not conducting properly in their neurological system. Which part of the neuron should the nurse explain carries impulses toward the cell body?
A patient's impulses are not conducting properly in their neurological system. Which part of the neuron should the nurse explain carries impulses toward the cell body?
- Schwann cell
- Myelin sheath
- Axon
- Dendrite (correct)
When reviewing the vital signs for a patient with a neurological problem, what part of the brain regulates heart rate and blood pressure?
When reviewing the vital signs for a patient with a neurological problem, what part of the brain regulates heart rate and blood pressure?
- Cerebrum
- Hypothalamus
- Cerebellum
- Medulla (correct)
When discussing spinal nerves during a presentation on the neurological system, what other root makes up each spinal nerve, along with the dorsal root?
When discussing spinal nerves during a presentation on the neurological system, what other root makes up each spinal nerve, along with the dorsal root?
When explaining the transmission of nerve impulses to a patient with a spinal cord injury, what structure should the nurse explain carries nerve impulses at synapses?
When explaining the transmission of nerve impulses to a patient with a spinal cord injury, what structure should the nurse explain carries nerve impulses at synapses?
A patient learns that abdominal pain is originating from the liver. What type of neurons transmit the impulses from receptors in the internal organs to the central nervous system?
A patient learns that abdominal pain is originating from the liver. What type of neurons transmit the impulses from receptors in the internal organs to the central nervous system?
The results of a patients diagnostic tests show changes in nerve insulation. What structure should the nurse explain electrically insulates neurons?
The results of a patients diagnostic tests show changes in nerve insulation. What structure should the nurse explain electrically insulates neurons?
A patient has a history of falling. Which part of the brain should the nurse question as being affected?
A patient has a history of falling. Which part of the brain should the nurse question as being affected?
When preparing a presentation about the neurological system, what explains the purpose of white matter?
When preparing a presentation about the neurological system, what explains the purpose of white matter?
A patient with a head injury has unequal pupils. Which term should the nurse use to document this finding?
A patient with a head injury has unequal pupils. Which term should the nurse use to document this finding?
Which assessment is most important for the nurse to complete for a patient admitted to the emergency room after a motor vehicle crash?
Which assessment is most important for the nurse to complete for a patient admitted to the emergency room after a motor vehicle crash?
When assessing a patients pupils for reactivity to light, which cranial nerve (CN) is being tested?
When assessing a patients pupils for reactivity to light, which cranial nerve (CN) is being tested?
A neurologist asks a patient to stick out their tongue. Which cranial nerve (CN) is being tested?
A neurologist asks a patient to stick out their tongue. Which cranial nerve (CN) is being tested?
A patient reports nearly having a motor vehicle crash and states that their heart was pounding and they were breathing heavy and fast. Now heart rate and breathing are normal. Which neurotransmitter has resumed control after the patients incident?
A patient reports nearly having a motor vehicle crash and states that their heart was pounding and they were breathing heavy and fast. Now heart rate and breathing are normal. Which neurotransmitter has resumed control after the patients incident?
For which function, should the nurse expect to assess an abnormality when caring for a patient diagnosed with a cerebral tumor?
For which function, should the nurse expect to assess an abnormality when caring for a patient diagnosed with a cerebral tumor?
A 22-year-old female patient recovering from a craniotomy begins crying and asking for her mother who is sleeping in the visitors lounge. The patients Glasgow Coma Scale (GCS) of 15 and pupils are equal and reactive. What nursing action would be most appropriate at this time?
A 22-year-old female patient recovering from a craniotomy begins crying and asking for her mother who is sleeping in the visitors lounge. The patients Glasgow Coma Scale (GCS) of 15 and pupils are equal and reactive. What nursing action would be most appropriate at this time?
What intervention should the nurse plan to maintain a patients safety while diagnostic testing is being completed, if they have impaired functioning of the left glossopharyngeal (IX) nerve and the vagus (X) nerve?
What intervention should the nurse plan to maintain a patients safety while diagnostic testing is being completed, if they have impaired functioning of the left glossopharyngeal (IX) nerve and the vagus (X) nerve?
A patient is scheduled for a computed tomography (CT) scan of the brain because of new onset of headaches. Which statement is most accurate when preparing the patient for the scan?
A patient is scheduled for a computed tomography (CT) scan of the brain because of new onset of headaches. Which statement is most accurate when preparing the patient for the scan?
What information should be provided to a patient in preparation for an electroencephalogram (EEG)?
What information should be provided to a patient in preparation for an electroencephalogram (EEG)?
When the neurologist asks the patient to identify different odors during an assessment of a patient with facial muscle weakness, which nerve is being tested?
When the neurologist asks the patient to identify different odors during an assessment of a patient with facial muscle weakness, which nerve is being tested?
Which action should the nurse take when preparing a patient scheduled for a lumbar puncture?
Which action should the nurse take when preparing a patient scheduled for a lumbar puncture?
Which order should the nurse anticipate providing post-procedure care for a patient recovering from a lumbar puncture?
Which order should the nurse anticipate providing post-procedure care for a patient recovering from a lumbar puncture?
What explanation should be provided to the patient and family of a patient who is scheduled for a magnetic resonance imaging (MRI) scan?
What explanation should be provided to the patient and family of a patient who is scheduled for a magnetic resonance imaging (MRI) scan?
A patient who is severely brain damaged has decerebrate posturing with extended extremities. In which area of the brain should the nurse suspect the patient has sustained damage?
A patient who is severely brain damaged has decerebrate posturing with extended extremities. In which area of the brain should the nurse suspect the patient has sustained damage?
A patient who has had a stroke (brain attack) is unable to understand what the nurse is saying and appears frustrated. What term should the nurse use to document this finding?
A patient who has had a stroke (brain attack) is unable to understand what the nurse is saying and appears frustrated. What term should the nurse use to document this finding?
What assessment finding should the nurse expect to observe when assisting as a neurosurgeon examines a patient who has a positive Babinski reflex?
What assessment finding should the nurse expect to observe when assisting as a neurosurgeon examines a patient who has a positive Babinski reflex?
A patient becomes startled when the alarm rings for a fire drill. After reassuring the patient that there is no danger, an assessment is completed. Which finding may be related to a sympathetic response?
A patient becomes startled when the alarm rings for a fire drill. After reassuring the patient that there is no danger, an assessment is completed. Which finding may be related to a sympathetic response?
When the nurse shines a light in a patients left pupil, both of the pupils constrict. What type of response should the nurse document?
When the nurse shines a light in a patients left pupil, both of the pupils constrict. What type of response should the nurse document?
Which precaution should the nurse take after noting that an 87-year-old woman, who is recovering from a cerebral vascular accident, has a positive Romberg test?
Which precaution should the nurse take after noting that an 87-year-old woman, who is recovering from a cerebral vascular accident, has a positive Romberg test?
After being informed by family members that a patient is deaf and mute after being admitted to the hospital after a motor vehicle accident, which action should the nurse take?
After being informed by family members that a patient is deaf and mute after being admitted to the hospital after a motor vehicle accident, which action should the nurse take?
A patient opens the eyes to painful stimuli, makes incomprehensible sounds, and withdraws from pain. What should the nurse calculate this patients Glasgow Coma Scale score to be?
A patient opens the eyes to painful stimuli, makes incomprehensible sounds, and withdraws from pain. What should the nurse calculate this patients Glasgow Coma Scale score to be?
Based upon the Glasgow Coma Scale score, the nurse suspects that a patient will be diagnosed as being in a comatose state. What score does the patient need to have to be identified as comatose?
Based upon the Glasgow Coma Scale score, the nurse suspects that a patient will be diagnosed as being in a comatose state. What score does the patient need to have to be identified as comatose?
For how many seconds should the nurse explain to a patient, that they will need to hold the position during a Romberg test?
For how many seconds should the nurse explain to a patient, that they will need to hold the position during a Romberg test?
How many pairs of spinal nerves should the nurse explain are contained within the human body when explaining the neurological system to a group of nursing students?
How many pairs of spinal nerves should the nurse explain are contained within the human body when explaining the neurological system to a group of nursing students?
The nurse learns that a patient with a neurological illness has not had a sense of smell for several decades. Which part of the central nervous system should the nurse question as being damaged in this patient?
The nurse learns that a patient with a neurological illness has not had a sense of smell for several decades. Which part of the central nervous system should the nurse question as being damaged in this patient?
Which part of the neurological system is the nurse referring when the statement rest and digest is included in a seminar on the neurologic system for a community health fair?
Which part of the neurological system is the nurse referring when the statement rest and digest is included in a seminar on the neurologic system for a community health fair?
Which findings are considered abnormal in an aging patient and should be reported to the physician?
Which findings are considered abnormal in an aging patient and should be reported to the physician?
Which foods should the nurse remove from patients tray if they have a history of aspiration?
Which foods should the nurse remove from patients tray if they have a history of aspiration?
What manifestations should the nurse expect the patient to demonstrate if they are experiencing a sympathetic response?
What manifestations should the nurse expect the patient to demonstrate if they are experiencing a sympathetic response?
What should be included in pre-procedure preparation for a patient scheduled for a computed tomography (CT) scan with contrast?
What should be included in pre-procedure preparation for a patient scheduled for a computed tomography (CT) scan with contrast?
Which structures should the nurse identify as being part of the diencephalon during a review of the neurological system as part of a community health presentation?
Which structures should the nurse identify as being part of the diencephalon during a review of the neurological system as part of a community health presentation?
Which actions should the nurse anticipate providing when caring for a patient scheduled for a lumbar puncture?
Which actions should the nurse anticipate providing when caring for a patient scheduled for a lumbar puncture?
A patient does not have a left patellar reflex while observing the neurologist complete a neurological examination. In which areas should the nurse consider the patient has a dysfunction?
A patient does not have a left patellar reflex while observing the neurologist complete a neurological examination. In which areas should the nurse consider the patient has a dysfunction?
A patient is surprised to learn that cerebrospinal fluid will be removed during a lumbar puncture and asks the purpose of the fluid. What should the nurse explain to the patient?
A patient is surprised to learn that cerebrospinal fluid will be removed during a lumbar puncture and asks the purpose of the fluid. What should the nurse explain to the patient?
In which areas should the nurse collect data when using the FOUR tool to assess a patients neurological functioning?
In which areas should the nurse collect data when using the FOUR tool to assess a patients neurological functioning?
A patient is experiencing difficulty with fine motor skills and balance. Which area of the brain is MOST likely affected?
A patient is experiencing difficulty with fine motor skills and balance. Which area of the brain is MOST likely affected?
A patient's diagnostic tests reveal demyelination of nerve fibers. Which of the following functions will be MOST directly impaired by this condition?
A patient's diagnostic tests reveal demyelination of nerve fibers. Which of the following functions will be MOST directly impaired by this condition?
A patient has suffered a stroke affecting the medulla oblongata. Which of the following vital functions is MOST likely to be compromised?
A patient has suffered a stroke affecting the medulla oblongata. Which of the following vital functions is MOST likely to be compromised?
A patient is undergoing a neurological assessment. When the nurse tests the patient's ability to feel a light touch on their arm, which type of neuron is PRIMARILY responsible for transmitting this sensory information to the central nervous system?
A patient is undergoing a neurological assessment. When the nurse tests the patient's ability to feel a light touch on their arm, which type of neuron is PRIMARILY responsible for transmitting this sensory information to the central nervous system?
A patient with a spinal cord injury is experiencing exaggerated reflexes below the level of injury. Which of the following mechanisms BEST explains this phenomenon?
A patient with a spinal cord injury is experiencing exaggerated reflexes below the level of injury. Which of the following mechanisms BEST explains this phenomenon?
Flashcards
Which brain lobe controls voluntary movement?
Which brain lobe controls voluntary movement?
The frontal lobe is responsible for voluntary movement.
What part of a neuron carries impulses inward?
What part of a neuron carries impulses inward?
Dendrites carry impulses towards the cell body.
Which brain part controls heart rate and BP?
Which brain part controls heart rate and BP?
The medulla regulates heart rate and blood pressure.
What are the 2 roots of spinal nerves?
What are the 2 roots of spinal nerves?
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What carries impulses across synapses?
What carries impulses across synapses?
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Impulses from internal organs are transmitted by what neurons?
Impulses from internal organs are transmitted by what neurons?
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What insulates neurons?
What insulates neurons?
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Which brain part controls balance?
Which brain part controls balance?
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What does white matter do?
What does white matter do?
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What is the term for unequal pupil sizes?
What is the term for unequal pupil sizes?
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What is the GCS?
What is the GCS?
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Which CN is assessed by pupillary reaction?
Which CN is assessed by pupillary reaction?
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Which CN is assessed when sticking out tongue?
Which CN is assessed when sticking out tongue?
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Which neurotransmitter calms body after stress?
Which neurotransmitter calms body after stress?
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What functions are affected by a cerebral tumor?
What functions are affected by a cerebral tumor?
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What is the most appropriate nursing action?
What is the most appropriate nursing action?
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Which intervention maintains pt’s safety?
Which intervention maintains pt’s safety?
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What should nurse say to prepare a patient for a CT scan?
What should nurse say to prepare a patient for a CT scan?
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How should the patient prepare their hair for EEG?
How should the patient prepare their hair for EEG?
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Which cranial nerve is related to smell?
Which cranial nerve is related to smell?
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How should you position a patient for lumbar puncture?
How should you position a patient for lumbar puncture?
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What position post lumbar puncture relieves headache?
What position post lumbar puncture relieves headache?
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How does an MRI visualize the body?
How does an MRI visualize the body?
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Where is the brain damage?
Where is the brain damage?
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Can't understand what others say?
Can't understand what others say?
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What is positive babinski reflex?
What is positive babinski reflex?
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Which is a sympathetic symptom?
Which is a sympathetic symptom?
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Both pupils constrict.
Both pupils constrict.
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What to do with a positive Romberg?
What to do with a positive Romberg?
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Mute patient assessment?
Mute patient assessment?
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What's their GCS score?
What's their GCS score?
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What GCS needed to be comatose?
What GCS needed to be comatose?
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How long to hold Romberg position?
How long to hold Romberg position?
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How many pairs of spinal nerves?
How many pairs of spinal nerves?
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Which lobe affects smell?
Which lobe affects smell?
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Rest and Digest?
Rest and Digest?
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Which is abnormal aging symptom?
Which is abnormal aging symptom?
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What food should nurse remove?
What food should nurse remove?
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Which of the following is a sympathetic response?
Which of the following is a sympathetic response?
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Which are ways to prepare for computed tomography (CT) scan with contrast?
Which are ways to prepare for computed tomography (CT) scan with contrast?
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Which is part of the diencephalon?
Which is part of the diencephalon?
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What actions to perform for lumbar puncture?
What actions to perform for lumbar puncture?
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What are areas of dysfunction?
What are areas of dysfunction?
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What is the purpose of cerebrospinal fluid?
What is the purpose of cerebrospinal fluid?
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What areas to collect for a Four Tool data assessment
What areas to collect for a Four Tool data assessment
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Post-craniotomy patient upset: Best action?
Post-craniotomy patient upset: Best action?
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Study Notes
Frontal Lobe Function
- Voluntary movement of the right arm is affected by the frontal lobe
Neuron Impulses
- Dendrites carry impulses toward the cell body
Medulla's role
- The medulla regulates heart rate and blood pressure
Spinal Nerve Composition
- Each spinal nerve includes a dorsal and ventral root
Synaptic Nerve Impulses
- Neurotransmitters carry nerve impulses at synapses
Sensory Neurons
- Visceral sensory neurons transmit impulses from internal organ receptors to the central nervous system
Nerve Insulation
- The myelin sheath electrically insulates neurons
Cerebellum Function
- The cerebellum is related to falls and balance
White Matter Purpose
- White matter carries either sensory or motor impulses
Unequal Pupils
- Anisocoria is the term for unequal pupils
Assessing head injuries
- The Glasgow Coma Scale to assess the severity
Testing Cranial Nerve III
- Assessing pupil reaction to light tests cranial nerve (CN) III
Testing Cranial Nerve XII
- Sticking out the tongue tests cranial nerve (CN) XII (hypoglossal)
Post-Stress Neurotransmitter
- Acetylcholine resumes control after a sympathetic response incident
Cerebral Tumor Effects
- A cerebral tumor affects movement and speech
Post-Craniotomy Care
- Reassuring the patient and asking the mother to come and stay with the patient ensures the patients well being
Impaired Glossopharyngeal & Vagus Nerves
- Withhold oral fluids or foods, because the patient has impaired functioning of the left glossopharyngeal (IX) nerve and the vagus (X) nerve.
Preparing for CT Scan
- The patient needs to hold their head completely still during a computed tomography (CT) scan
Preparing for EEG
- Hair must be clean and dry prior to an electroencephalogram (EEG)
Testing Cranial Nerve I
- Identifying different odors tests cranial nerve I (olfactory)
Preparing for Lumbar Puncture
- The patient should be assisted into a side-lying position for a lumbar puncture
Post-Lumbar Puncture Care
- The patient should lie flat for 6 hours after a lumbar puncture
Explaining MRI
- MRI is noninvasive, using magnetic energy for visualization
Decerebrate Posturing
- Damage to the brain stem is suspected in a patient presenting decerebrate posturing
Expressive Aphasia
- Receptive aphasia is diagnosed when a patient cannot understand
Positive Babinski Reflex
- The big toe extends when the sole of the foot is stroked in a patient with a positive Babinski reflex
Sympathetic Response
- Diminished bowel sounds may be related to a sympathetic response
Pupillary Response
- Consensual response: When light is shone in a patients left pupil, both pupils constrict
Positive Romberg Test
- Institute fall-risk precautions for a patient with a positive Romberg test
Deaf and Mute Patients
- In a deaf and mute patient avoid use of the Glasgow Coma Scale
Calculating Glasgow Coma Scale
- Responds to painful stimuli (2) + makes incomprehensible sounds (2) + withdraws from pain (4) = Glasgow Coma Scale score of 8
Comatose State
- A Glasgow Coma Scale score of 7 indicates a comatose state
Conducting Romberg Test
- Explain to the patient a Romberg test position will need to be held during 20 seconds.
Spinal Nerve Pairs
- Human body contains 31 pairs of spinal nerves
Neurological Illness
- Damage to the temporal lobe causes loss of sense of smell.
Parasympathetic Nervous System
- "Rest and digest" refers to the parasympathetic division of the autonomic nervous system
Abnormal Findings in Older Patients
- Depression and fine motor tremors of the hands are abnormal
Foods to Avoid with Aspiration Risk
- Coffee and fruit juice should be removed from the tray, due to high aspiration risk
Sympathetic Response Manifestations
- Relaxation of bladder, decrease in peristalsis and dilation of bronchioles are manifestations of the sympathetic response
Pre-Procedure CT Scan Preparation
- Check BUN and creatinine levels, question allergies, explain warmth sensation, and instruct to report any nausea, itchiness, or difficulty breathing
Diencephalon Structures
- Thalamus and hypothalamus are part of the diencephalon
Lumbar Puncture Actions
- Check puncture site for swelling or drainage, ensure informed consent, maintain bedrest with HOB flat for 6 hours, and assess lower extremity movement and sensation
Dysfunction Areas for Absent Patellar Reflex
- Spinal cord, femoral nerve, and quadriceps femoris muscle
Purpose of Cerebrospinal Fluid
- Cushions the central nervous system and exchanges nutrients and wastes between the blood and neurons
FOUR Tool Neurological Assessment Areas
- Reflexes, eye response, motor movement and breathing pattern should be collected when using FOUR tool
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