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Neuro assessment 209
Neuro Assessment
| Question | Answer |
|---|---|
| The first thing you assess for in a neurological patient | Alertness/arousal |
| This test is the first line non-invasive diagnostic study used to assess neurological disease | Non-contrast head CT |
| This type of nerve cell can regenerate | peripheral nerve cell |
| What neurological symptoms of hypokalemia would be observed in a patient? | decreased reflexes |
| Myelin is responsible for this effect? | increases the conduction of an action potential, speeding up motor activity in a person |
| What symptoms are a result of lack of dopamine? | rigidity, tremor,decreased movement,decreased emotions, decreased posture and gait |
| A stroke in Broca's area will have an impairment in the ability to __________? | speak |
| A lesion in the hypothalamus will cause ? | This can cause Cushing's syndrome, sleep disturbances, and carbohydrate disturbances. |
| A cerebellar stroke will demonstrate what problem? | Uncoordinated movement |
| Fright or flight is a result of the activity in what system? | Autonomic-sympathetic |
| A decrease in Acetylcholine is seen in this disease | Alzheimers Disease |
| Use this mnemonic device to remember what to assess your patient for. | OPQRST |
| The name of the scale used globally to assess a person's consciousness | Glasgow Coma Scale |
| A person with a disconjugate gaze means what? | The eyes don't move together because there is a paralysis or defect in one of the eyes motor nerves (CN3, 4, 6) |
| The most important piece of equipment that a nurse uses to examine a neurological patient | Her brain |
| Dysphasia means | difficulty speaking- |
| Dysphagia means | difficulty swallowing |
| If a patient can not detect a pin prick at the same time in their feet, what could it mean? | Diabetic neuropathy OR a parietal lobe lesion. |
| Kernig's sign occurs when there is ____________ irritation | meningeal |
| The gold standard of diagnostic testing for suspected vascular brain lesions | cerebral angiography |
| In preparation for a cerebral angiography, what do you need to ask the patient before the test? | allergies to contrast media (dye) |
| When is a lumbar puncture indicated? | to determine if there is an infection in the spine (CNS)such as meningitis. |
| When is a lumbar puncture not indicated? | When the patient has a possible brain tumor. |
Created by:
knab@musc.edu
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