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nursing 165 mtc neurological

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Question
Answer
What may be the first obvious sign of brain lesion?   seizure  
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What is a common manifestation of neurologic disease?   muscle weakness  
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What are the 5 part of neurological assessment?   Glasgow Coma Scale (Motor system, Sensory system, reflexes) Cerebral Function, Cranial Nerves  
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Glasgow Coma Scale Eye opening includes   Spontaneous = 4, To Sound = 3, To Pain = 2, Never = 1  
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GCS Motor response include   Obeys Commands = 6, Localizes Pain = 5, Normal Flexion (withdrawal) = 4, Abnormal Flexion = 3, Extension = 2, None=1  
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GCS Verbral response include   Oriented = 5, Conversation = confused = 4, Speech – inappropriate = 3, Sounds – incomprehensible = 2, No response = 1  
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What is FIRST indicator of neuro decline?   Level of consciousness  
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Agnosia means   inability to interpret or recognize objects seen through the special senses  
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Aphasia means   language impairment including speaking, writing, reading, or comprehension  
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Cranial Nerves I.   Olfactory: Sensory: Smell  
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Cranial Nerves II.   Optic: Sensory: Vision  
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Cranial Nerves III.   Oculomotor: Motor  
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Cranial Nerves IV.   Trochlear: Motor: Eye Movement  
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Cranial Nerves V.   Trigeminal: Both: Skin sensation  
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Cranial Nerves VI.   Abducens: Motor: Eye Movement  
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Cranial Nerves VII.   Facial: Both:  
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Cranial Nerves VIII.   Acoustic/Vestibulocochlear : Sensory  
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Cranial Nerves IX.   Glossopharyngeal: Both  
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Cranial Nerves X.   Vagus: Both  
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Cranial Nerves XI.   Accessory (Spinal): Motor  
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Cranial Nerves XII.   Hypoglossal: Motor  
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Muscle Tone Spasticity   Increased muscle tone  
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Muscle Tone Rigidity   Resistance to passive stretch  
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Muscle Tone Flaccidity   Lack of muscle tone (limp, floppy)  
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Ataxia is   incoordination of voluntary muscle action  
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Cerebrospinal Fluid (CSF) is   colorless  
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Cerebrospinal Fluid (CSF) that is blood tinged means?   subarachnoid hemorrhage  
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cerebrospinal fluid normal pressure is   10 to 15 mm Hg  
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Glucose in cerebrospinal fluid is   50-75 mg/dL  
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Lumbar puncture complications are   headache,  Brain herniation  Spinal epidural abscess  Spinal epidural hematoma  Meningitis  Temporary voiding problems  Slight elevation of temperature  Backache/Spasms  Neck stiffness  
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What can the patient do for LP complication of a headache   bedrest, lay for 3 hours  
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Post    
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