Podcast
Questions and Answers
What does a Glasgow Coma Scale (GCS) score of 7 or less indicate?
What does a Glasgow Coma Scale (GCS) score of 7 or less indicate?
When is lumbar puncture ordered in a client presenting post-seizure?
When is lumbar puncture ordered in a client presenting post-seizure?
What does assessment of the movement of the tongue relate to?
What does assessment of the movement of the tongue relate to?
What does a delayed response to stimulation and drowsiness indicate?
What does a delayed response to stimulation and drowsiness indicate?
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When is a GCS score of 9 indicative of the need for emergency attention?
When is a GCS score of 9 indicative of the need for emergency attention?
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What do unequal, pinpoint, or absent pupillary responses indicate?
What do unequal, pinpoint, or absent pupillary responses indicate?
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When is a pretest dose of antihistamine administered to clients?
When is a pretest dose of antihistamine administered to clients?
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When is flaccidity documented in a client?
When is flaccidity documented in a client?
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How is assessment of sensation in the upper extremity conducted?
How is assessment of sensation in the upper extremity conducted?
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What do nerve conduction studies measure?
What do nerve conduction studies measure?
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What are appropriate nursing actions to assess level of consciousness?
What are appropriate nursing actions to assess level of consciousness?
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What is the priority nursing action during a seizure?
What is the priority nursing action during a seizure?
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What is the priority nursing action after a lumbar puncture?
What is the priority nursing action after a lumbar puncture?
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Which complication can result from bacterial meningitis?
Which complication can result from bacterial meningitis?
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What is a significant sign of rising intracranial pressure?
What is a significant sign of rising intracranial pressure?
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How are absence seizures in children characterized?
How are absence seizures in children characterized?
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What are signs of increasing intracranial pressure in a client with head trauma?
What are signs of increasing intracranial pressure in a client with head trauma?
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What is the priority nursing action for a client with severe myasthenia gravis exacerbation?
What is the priority nursing action for a client with severe myasthenia gravis exacerbation?
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What is the purpose of using a safety pin to stroke a client's fingers?
What is the purpose of using a safety pin to stroke a client's fingers?
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What is the purpose of using cold water on a client's arm?
What is the purpose of using cold water on a client's arm?
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Which action can lead to damage to nerves facilitating vision and hearing in bacterial meningitis?
Which action can lead to damage to nerves facilitating vision and hearing in bacterial meningitis?
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What is a sign of increasing intracranial pressure in a client with head trauma?
What is a sign of increasing intracranial pressure in a client with head trauma?
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Is a stiff neck a symptom associated with increasing intracranial pressure?
Is a stiff neck a symptom associated with increasing intracranial pressure?
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What is the purpose of shampooing after removing electroencephalogram electrodes?
What is the purpose of shampooing after removing electroencephalogram electrodes?
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Which cranial nerve is responsible for hearing and balance?
Which cranial nerve is responsible for hearing and balance?
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What is the concern related to cloudy cerebrospinal fluid (CSF) during a lumbar puncture?
What is the concern related to cloudy cerebrospinal fluid (CSF) during a lumbar puncture?
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What is the purpose of the Romberg test in neurological assessment?
What is the purpose of the Romberg test in neurological assessment?
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Which system regulates energy expenditure and the body's response to emergency situations?
Which system regulates energy expenditure and the body's response to emergency situations?
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What does a computed tomography (CT) scan primarily provide?
What does a computed tomography (CT) scan primarily provide?
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What is the function of myelin in the nervous system?
What is the function of myelin in the nervous system?
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When is assessing neck rigidity important in a client's physical examination?
When is assessing neck rigidity important in a client's physical examination?
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What is the role of the parasympathetic nervous system during an emergency?
What is the role of the parasympathetic nervous system during an emergency?
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What does a magnetic resonance imaging (MRI) use to produce images of tissue?
What does a magnetic resonance imaging (MRI) use to produce images of tissue?
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Why is it important not to measure the client's LOC, heart rate, or pulse rate without healthcare provider advice?
Why is it important not to measure the client's LOC, heart rate, or pulse rate without healthcare provider advice?
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What is the purpose of tapping the lower portion of the neck during a physical examination?
What is the purpose of tapping the lower portion of the neck during a physical examination?
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What is the appropriate nursing action to collect motor response data from a comatose client?
What is the appropriate nursing action to collect motor response data from a comatose client?
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What is the most appropriate post-procedure activity for a client who undergoes an electroencephalogram (EEG)?
What is the most appropriate post-procedure activity for a client who undergoes an electroencephalogram (EEG)?
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What is the purpose of the Romberg test in neurological assessment?
What is the purpose of the Romberg test in neurological assessment?
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What does monitoring sensitivity to temperature, touch, and pain assess in a comatose client?
What does monitoring sensitivity to temperature, touch, and pain assess in a comatose client?
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Which assessment findings are important for a client with bacterial meningitis?
Which assessment findings are important for a client with bacterial meningitis?
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What is the primary focus in caring for Parkinson disease?
What is the primary focus in caring for Parkinson disease?
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Which solution is used to decrease swelling in the brain cells with increasing intracranial pressure (ICP)?
Which solution is used to decrease swelling in the brain cells with increasing intracranial pressure (ICP)?
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What is the first action for a client with a brain tumor complaining of a headache upon awakening?
What is the first action for a client with a brain tumor complaining of a headache upon awakening?
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What is used to manage symptoms of muscle spasticity and rigidity in clients diagnosed with neuromuscular disorders?
What is used to manage symptoms of muscle spasticity and rigidity in clients diagnosed with neuromuscular disorders?
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Which findings are normal in intracranial pressure (ICP)?
Which findings are normal in intracranial pressure (ICP)?
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What can be beneficial in diagnosing encephalitis secondary to West Nile virus?
What can be beneficial in diagnosing encephalitis secondary to West Nile virus?
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What is commonly used to decrease brain swelling in clients with increasing intracranial pressure (ICP)?
What is commonly used to decrease brain swelling in clients with increasing intracranial pressure (ICP)?
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What is the main symptom of ALS (Amyotrophic Lateral Sclerosis)?
What is the main symptom of ALS (Amyotrophic Lateral Sclerosis)?
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What is the priority in the management of symptoms in Bell palsy?
What is the priority in the management of symptoms in Bell palsy?
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What is encouraged in the management of Parkinson disease?
What is encouraged in the management of Parkinson disease?
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What is the first action for a client with a brain tumor complaining of a headache upon awakening?
What is the first action for a client with a brain tumor complaining of a headache upon awakening?
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Which solution is used to decrease swelling in the brain cells with increasing intracranial pressure?
Which solution is used to decrease swelling in the brain cells with increasing intracranial pressure?
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What is the primary focus in caring for Parkinson's disease?
What is the primary focus in caring for Parkinson's disease?
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Which medication is used to manage symptoms of muscle spasticity and rigidity in clients diagnosed with neuromuscular disorders?
Which medication is used to manage symptoms of muscle spasticity and rigidity in clients diagnosed with neuromuscular disorders?
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What are important assessment findings for a client with bacterial meningitis?
What are important assessment findings for a client with bacterial meningitis?
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What is used to diagnose encephalitis secondary to West Nile virus?
What is used to diagnose encephalitis secondary to West Nile virus?
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What are normal findings in intracranial pressure (ICP)?
What are normal findings in intracranial pressure (ICP)?
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What is the initial symptom of ALS?
What is the initial symptom of ALS?
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What is the priority in the management of symptoms for Bell's palsy?
What is the priority in the management of symptoms for Bell's palsy?
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What is the characteristic gait in Parkinson's disease?
What is the characteristic gait in Parkinson's disease?
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What is the recommended fluid for decreasing swelling in brain cells with increasing intracranial pressure?
What is the recommended fluid for decreasing swelling in brain cells with increasing intracranial pressure?
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What is the initial action for a client with a brain tumor experiencing headache upon awakening?
What is the initial action for a client with a brain tumor experiencing headache upon awakening?
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Study Notes
Neurological Nursing Practice
- Clients are advised against taking sedative drugs and caffeine-related drinks before EEG, so there is no need to provide them after the test.
- The sympathetic nervous system regulates energy expenditure and is responsible for the body's response to emergency situations.
- Cranial nerve VIII is responsible for hearing and balance, while cranial nerve II is the optic nerve.
- A computed tomography (CT) scan is used to obtain thin "slices" of the body area, while MRI uses radiofrequency waves to produce images of tissue.
- Cloudy cerebrospinal fluid (CSF) is a concern during a lumbar puncture (LP) as normal CSF is clear and colorless.
- Shampoo is used to remove the paste from electroencephalogram electrodes attached to the head.
- In the Romberg test, the client stands erect with feet close together and eyes closed to assess balance and neurologic deficits.
- Myelin is the covering of axons and is a fatty substance that covers some axons in the CNS and PNS.
- Assessing neck rigidity is important in the physical examination of a client with a suspected neurologic disorder.
- Tapping the lower portion of the neck helps in detecting sensation and assessing for neck rigidity.
- The parasympathetic nervous system works to conserve body energy during an emergency, while the endocrine system regulates metabolic processes.
- The nurse should not measure the client's LOC, heart rate, or pulse rate unless advised by the health care provider.
Neurological Nursing Care Summary
- Generalized pain is not significant with ICP unless related to complaint of headache, especially upon awakening
- Glasgow Coma Scale of 15 and brisk pupil response are normal findings in ICP
- Isotonic normal saline, lactated Ringer’s, or hypertonic saline solutions are used to decrease swelling in the brain cells with increasing ICP
- The first action for a client with a brain tumor complaining of a headache upon awakening would be to elevate the head of the bed
- For a client with bacterial meningitis, cloudy cerebral spinal fluid and purpura of hands and feet are important assessment findings
- Exposure to mosquito bites can be beneficial in diagnosing encephalitis secondary to West Nile virus
- Baclofen is used to manage symptoms of muscle spasticity and rigidity in clients diagnosed with neuromuscular disorders
- ALS usually begins with muscle weakness of the arms and progresses
- In Bell palsy, ophthalmic lubricant and protection of the eye are priority in the management of symptoms
- The primary focus in caring for Parkinson disease is on maintaining a safe environment
- Parkinson disease often has a propulsive gait, characterized by a tendency to take increasingly quicker steps while walking and an inability to stop abruptly without losing balance
- Prevention of communicable diseases and establishing a balanced nutrition is encouraged in Parkinson disease management
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Description
Test your knowledge of neurological nursing care with this summary quiz. Identify important assessment findings, prioritize nursing actions, and understand management strategies for conditions such as increased intracranial pressure, brain tumors, meningitis, encephalitis, neuromuscular disorders, and Parkinson's disease.
