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Chapter 35
Nervous System and Musculo-Skeletal Disorders
Question | Answer |
---|---|
What is a disease affecting the arteries that supply blood to the brain? | Stroke |
When a person has a stroke a blood __________ in the brain bursts. | Vessel |
When a blood vessel in the brain bursts ____________ occurs in the brain called a cerebral hemorrhage. | Bleeding |
When a person has a stroke a blood _________ may block blood flow to the brain. | Clot |
Sometimes stroke warning signs last a few ______________ which is called a transient ischemic attack or TIA. | Minutes |
Warning signs of a stroke include sudden numbness or ___________ of the face, arm, or leg that may affect only one side of the body. | Weakness |
Warning signs of a stroke include sudden confusion, trouble __________, or understanding speech. | Speaking |
Warning signs of a stroke include sudden trouble ______________ in one or both eyes. | Seeing |
Warning signs of a stroke include sudden trouble ______________, dizziness, loss of balance, or coordination. | Walking |
Warning signs of a stroke include sudden severe _______________ with no known cause. | Headache |
Risk factors for stoke include age, older person are at a ______________ risk than younger persons. | Greater |
Risk factors for stoke include __________ history. | Family |
Risk factors for stoke include gender, both men and women are affected ______________. | Equally |
Risk factors for stoke include being African-American due to high rates or __________________ and diabetes. | Hypertension |
Risk factors for stoke include high blood pressure (hypertension) due to damage to blood vessels that cause __________ to form or arteries to burst. | Clots |
Risk factors for stoke include _____________ disease. | Heart |
Risk factors for stoke include smoking because the ______________ in cigarettes makes the heart work harder which increases heart rate and blood pressure. | Nicotine |
Risk factors for stoke include _____________ because elevated blood sugars can damage blood vessels. | Diabetes |
Risk factors for stoke include high blood cholesterol that causes __________ materials to build up in artery wall blocking blood flow. | Fatty |
Risk factors for stoke include obesity because over-weight persons are a risk for hypertension, _____________, heart disease, and high blood cholesterol. | Diabetes |
Risk factors for stoke include previous ______________ or TIA. | Stroke |
What is paralysis on one side of the body? | Hemiplegia |
If the person survives the stroke, some brain ____________ is likely. | Damage |
Functions ___________ depend on the area of brain damage. | Lost |
Effects of stroke include loss of face, hand, arm, leg, or body ____________. | Control |
Effects of stroke include paralysis on one side of the body called ______________. | Hemiplegia |
Effects of stroke include changing ____________ such as crying easily or mood swings for no reason. | Emotions |
Effects of stroke include difficulty _______________ called dysphagia. | Swallowing |
Effects of stroke include ______________ or slowed or slurred speech. | Aphasia |
Effects of stroke include urinary frequency, urgency, or _______________. | Incontinence |
Effects of stroke include loss of ______________ control or constipation. | Bowel |
Care of the person with a stroke includes position the person in the ______________ position to prevent aspiration. | Lateral |
Care of the person with a stroke includes turn and re-position the person every _________ hours. | Two |
Care of the person with a stroke includes assisting with range-of-motion exercises to prevent __________________. | Contractures |
Care of the person with a stroke includes provide catheter care as needed or assist with a _______________ training program. | Bladder |
Care of the person with a stroke includes helping with a bowel ______________ program if needed. | Training |
Care of the person with a stroke includes keeping the call light within reach on the person's _______________ side. | Strong |
Care of the person with a stroke includes having the person do as much _________ - _____________ as possible with the aid of assist device as needed. | Self-care |
When a person has a stroke, __________________ begins at once. | Rehabilitation |
Parkinson's disease is a slow, progressive disorder with no ____________. | Cure |
Person over the age of ___________ are at risk for Parkinson's disease. | 50 |
Signs and symptoms of Parkinson's disease become ____________ over time. | Worse |
Signs and symptoms of Parkinson's disease include _____________ usually starting in one finger and spreading to the whole arm. | Tremors |
Pill-rolling movements - rubbing the thumb and __________ _________ together may occur with Parkinson's disease. | Index finger |
Signs and symptoms of Parkinson's disease include rigid, stiff ______________. | Muscles |
Signs and symptoms of Parkinson's disease include slow, shuffling ______________. | Gait |
Signs and symptoms of Parkinson's disease include a _________ - like expression in which the person cannot blink or smile. | Mask |
Signs and symptoms of Parkinson's disease include chewing and ______________ problems. | Swallowing |
Signs and symptoms of Parkinson's disease include constipation and ____________ problems. | Bladder |
Signs and symptoms of Parkinson's disease include memory __________ and slow thinking. | Loss |
Signs and symptoms of Parkinson's disease include slow, ____________, and soft speech. | Monotone |
Safety measures are needed to prevent ___________ and injury in those with Parkinson's disease. | Falls |
Multiple sclerosis (MS) is a chronic disease in which nerve impulses are not sent to and from the _____________ in the normal way. | Brain |
Symptoms of MS often start between 20 and _________ years of age. | 40 |
Signs and symptoms of MS depend on the ______________ area. | Damaged |
Relapsing-remitting MS happens when symptoms ___________ (remission) and later flare up again (relapse). | Disappear |
A person with MS is kept ___________ and independent for as long as possible. | Active |
Amyotrophic lateral sclerosis (ALS) attacks the nerves cells that control ____________ muscles. | Voluntary |
It is important that the care plan of a person with ALS includes _________ ____________ to keep the person active as long as possible. | ROM exercises |
Head injuries result from _____________ to the scalp, skull, or brain. | Trauma |
Disabilities from traumatic brain injury depend on the severity and ___________ of the injury. | Site |
_______________ is required for persons with traumatic brain injury. | Rehabilitation |
What is the loss of motor function, the loss of sensation, or both? | Paralysis |
Problem associated with paralysis depend on the amount of damage to the __________ ________ and the level of injury. | Spinal cord |
With paralysis, the ___________ the level of injury, the more functions lost. | Higher |
Paralysis in the legs and trunk is called _________________. | Paraplegia |
What is paralysis in the arms, legs, and trunk called (tetraplegia)? | Quadriplegia |
Autonomic dysreflexia affects person with spinal cord injuries ___________ the mid-thoracic level. | Above |
If autonomic dysreflexia is left untreated, stroke, _________ ________ and death are risks. | Heart attack |
Care of persons with paralysis include preventing __________ by checking bath water, heat applications, and food for proper temperature. | Burns |
Care of persons with paralysis include preventing pressure ____________. | Ulcers |
Care of persons with paralysis include maintaining muscle function and preventing _________________. | Contractures |
Care of persons with paralysis include assisting with ___________ exercises. | ROM |
The most common causes of autonomic dysreflexia are full _______________, constipation or fecal impaction, and skin disorders. | Bladder |
What term means joint inflammation? | Arthritis |
Arthritis is the most common _____________ disease. | Joint |
What is the most common type of arthritis? | Osteoarthritis |
Signs and symptoms of osteoarthritis include joint _____________, pain, swelling, and tenderness. | Stiffness |
The joint stiffness associated with osteoarthritis occurs with __________ and lack of motion. | Rest |
_____________ occurs with weight-bearing and joint motion in persons with osteoarthritis. | Pain |
Weight ___________ reduces stress and injury on weight-bearing joints. | Loss |
What type of arthritis is a chronic inflammatory disease that causes joint pain, swelling, stiffness and loss of function? | Rheumatoid |
Rheumatoid arthritis (RA) is more common in ________________, | Women |
Rheumatoid arthritis generally develops between the ages of __________ to 50. | 20 |
The wrist and __________ joints closest to the hand are often affected with rheumatoid arthritis | Finger |
RA is treated with _________________ for pain relief and to reduce inflammation. | Medications |
What is the surgical replacement of a joint called? | Arthroplasty |
With arthroplasty, the damaged joint is removed and replaced with an artificial joint called a __________________. | Prosthesis |
What is it called when bones become porous and brittle? | Osteoprosis |
With osteoporosis, bones are fragile and ____________ easily. | Break |
Risk factors for osteoporosis include a family ____________ of the disease. | History |
Risk factors for osteoporosis include being thin or having a _____________ frame. | Small |
Risk factors for osteoporosis include eating ______________. | Disorders |
Risk factors for osteoporosis include lack of exercise, _____________, and immobility. | Bedrest |
When a person has osteoporosis, back pain, gradual _____________ of height, and stooped posture can occur. | Loss |
What is a major threat of osteoporosis? | Fractures |
Fractures are a great risk from ________________ and accidents. | Falls |
Doctors often order ____________ and vitamins supplements for persons with osteoarthritis. | Calcium |
_______________ is ordered for some women with osteoarthritis. | Estrogen |
Measures to help prevent osteoarthritis include _______________ weight-bearing joints with walking, jogging, and stair climbing. | Exercising |
Measures to help prevent osteoarthritis include ________________ - training such as weight-lifting. | Strength |
Measures to help prevent osteoarthritis include limiting alcoholic and ______________ beverages. | Caffeinated |
Measures to help prevent osteoarthritis include back ______________ needed for good posture. | Supports |
Measures to help prevent osteoarthritis include _____________ measures to prevent falls and accidents. | Safety |
What is the term for a broken bone? | Fracture |
What type of fracture happens when the bone is broken but the skin is intact (simple fracture)? | Closed |
What type of fracture happens when the broken bone has come through the skin (compound fracture)? | Open |
Signs and symptoms of a fracture are _____________ and swelling. | Pain |
Signs and symptoms of a fracture are loss of ________________. | Function |
Signs and symptoms of a fracture include ______________ or no movement of the fractured part. | Limited |
Signs and symptoms of a fracture include movement where ____________ should not occur. | Motion |
Signs and symptoms of a fracture include deformity in which the part is in an ______________ position. | Abnormal |
Signs and symptoms of a fracture include ______________ and skin color changes at the fracture site. | Bruising |
Signs and symptoms of a fracture include internal and external __________________. | Bleeding |
Open reduction and internal fixation requires _____________. | Surgery |
During an open reduction and internal fixation the bone is exposed and moved into _______________. | Alignment |
When a fracture is repaired nails, ___________, pins, screws, plates, or wires keep the bone in place. | Rods |
After open reduction the movement of the bone ends is prevented with a _______ or traction. | Cast |
A plaster of Paris cast dries in about _________ to 48 hours. | 24 |
Plastic and _________________ casts dry quickly. | Fiberglass |
Rules for cast care include not ______________ the cast with blankets, plastic, or other materials. | Covering |
Rules for cast care include turning the person every __________ _________ or as directed by the nurse. | Two hours |
Rules for cast care include supporting the wet cast with your ___________ when turning and positioning the person. | Palms |
Rules for cast care include keeping the cast dry because a wet cast loses its _____________. | Shape |
Rules for cast care include not letting anyone _____________ anything into the cast. | Insert |
Rules for cast care include ______________ the casted limb on pillows to reduce swelling. | Elevating |
When a person has a cast you need to report these problems at once: _____________ which could indicate pressure ulcers, poor circulation, or nerve damage. | Pain |
When a person has a cast you need to report these problems at once: swelling or a __________ cast which could indicate reduced blood flow to the affected part. | Tight |
When a person has a cast you need to report these problems at once: ____________ skin which could indicate reduced blood flow to the affected part. | Pale |
When a person has a cast you need to report these problems at once: _______________ (a bluish color to the skin) which could indicate reduced blood flow to the affected part. | Cyanosis |
When a person has a cast you need to report these problems at once: unusual _____________ which could indicate infection. | Odors |
When a person has a cast you need to report these problems at once: inability to ____________ fingers and toes which could indicate pressure on a nerve. | Move |
When a person has a cast you need to report these problems at once: _______________ which could indicate pressure on a nerve or reduced blood flow to the affected area. | Numbness |
When a person has a cast you need to report these problems at once: _______________ changes because cool skin means poor circulation and hot skin mean inflammation. | Temperature |
When a person has a cast you need to report these problems at once: ______________ on or under the cast which could indicate infection or bleeding. | Drainage |
When a person has a cast you need to report these problems at once: chills, fever, nausea, and vomiting which could indicate ____________. | Infection |
What reduces and immobilizes fractures by placing a steady pull in two directions to keep the bone in place? | Traction |
What type of traction is applied to the bone? | Skeletal |
Fractured ____________ are common in older persons. | Hips |
Post-operative problems associated with hip fractures include pneumonia, atelectasis (collapse of part of the lung), UTIs, and thrombi (blood clots) in the ______________ veins. | Leg |
Fractures require ______________ fixation (open reduction). | Internal |
Care of the person in traction involves: not _____________ the traction. | Removing |
Care of the person in traction involves: not adding or removing ______ from the traction set-up. | Weights |
Care of the person in traction involves: __________________ the person as directed. | Positioning |
Care of the person in traction involves: providing a ___________ pan for elimination. | Fracture |
Care of the person in traction involves: putting bottom linens on the bed from the ______________ down. | Top |
Care of a person with a hip fracture involves: preventing ____________ rotation of the hip using trochanter rolls, pillows and sandbags as directed. | External |
Care of a person with a hip fracture involves: keeping the hips ____________ at all times. | Abducted |
Care of a person with a hip fracture involves: applying compression stockings to prevent ______________ (blood clots) in the legs. | Thrombi |
What is the removal of all or part of an extremity? | Amputation |
What is a condition in which there is death of tissue that may lead to death? | Gangrene |
With gangrene, tissues die and become ___________, cold, and shriveled. | Black |
_______________ limb pain is pain in an amputated body part. | Phantom |