EAQ Neurological

Which intervention would the nurse implement to prevent precipitating a painful attack in a client with tic douloureux?

Tic douloureux is also called trigeminal neuralgia and has a characteristically severe stabbing pain to one or both sides of the face. The nurse should avoid walking swiftly past the client because drafts or even slight air currents can initiate pain.

Tremors increase with what for MS

When I perform a activity

myasthenia gravis

a chronic autoimmune disease that affects the neuromuscular junction and produces serious weakness of voluntary muscles

Trachoma

a contagious bacterial infection of the eye in which there is inflamed granulation on the inner surface of the lids. most common cause of preventable blindness

encephalitis s/s

acute inflammation of the brain Nausea and vomiting

hemianopsia

blindness in half the visual field

Which clinical manifestations would the nurse expect for a client who has myasthenia gravis?

blurred visions with episodes of vertigo

Which test is used to diagnose diseases of the vestibular system?

caloric reflex test

blood in eye on image can be caused by

cholesterol deposition in peripheral cornea

Which intervention is useful in promoting comfort for the client experiencing a headache?

cold therapy

The nurse is caring for a client who is admitted with a crushing injury to the spinal cord at the level of phrenic nerve origin. Which complication would the nurse anticipate when planning care?

diaphragmatic paralysis

Which client condition is likely to improve significantly with the use of hearing aids?

diminished sensitivity of the cochlea

Abnormalities of extraocular muscle actions can cause

diplopia

diplopia

double vision

Damage to the vertebral artery causes

dysphagia and dysarthria

bradykinesia

extreme slowness in movement. jerky movements

parotidectomy complication

facial nerve dysfunction

Which ocular symptom would the nurse expect a client with a diagnosis of dry age-related macular degeneration to report?

loss of central vision

Damage to the anterior cerebral artery s/s

loss of proprioception and fine touch

Injury to the middle cerebral artery can cause

motor and sensory deficits

one cause of diplopia

myasthenia gravis

myopia

nearsightedness

skin pallor indicates

paleness sympathetic nervous system activation

goal for patients with bells palsy

prevent eye damage

While assisting the health care provider perform a lumbar puncture, the provider applied pressure on the jugular vein and expected to see an increased spinal fluid pressure. Which sign would the nurse expect the provider to document in the client's medical record?

queckenstedt sign

Parotidectomy

removing a salivary gland

prodromal phase

short period of vague symptoms and malaise; can serve as a warning of more symptoms to come but may not be noticed

Dysarhtria

slurred speech or difficulty speaking

CN 7 controls

tear production

Bell's Palsy

temporary paralysis of the seventh cranial nerve that causes paralysis only on the affected side of the face

laminectomy

the surgical removal of a lamina, or posterior portion, of a vertebra

Third phase of migraine

throbbing head pain

cerebellum damage causes

uncoordinated movements

Aniscoria

unequal diameter of pupils

Modafinil

used to treat narcolepsy

Posterior cerebral artery damage can cause

visual hallucinations and hemianopsia

An adult client with low-functioning Down syndrome (trisomy 21) appears in the emergency department via ambulance after an accident. Which assessment method would be the best instrument to use when determining this client's level of pain?

wong baker face scale

A client is hospitalized with head trauma. Which imaging test would the nurse anticipate being prescribed by the primary health care provider to rule out a cervical spine fracture?

x-ray

Having been immobilized in a body cast or traction for an extended time, the client questions why the therapist uses a tilt table. Which response would explain the function of a tilt table?

"The therapy assists in preventing loss of calcium from long bones." Calcium leaves the long bones during periods of prolonged bed rest and non-weight bearing on long bones. The tilt table places the client in an upright position, which provides for weight bearing. Use of the tilt table prevents orthostatic hypotension

bacterial meningitis s/s

-Fever, -severe headache, -neck stiffness, -photophobia, and -decreased levels of consciousness

Brain abcess symptoms

-Headache, -fever, - nausea, vomiting

postoperative teachingcataract surgery

-do not blow your nose -avoid bending from waste -diet is normal (NOT restricted to fat diet) -not necessary to remain flat after surgery

prodromal migraine s/s

-drowsiness, -acute confusion, - vertigo, -numbness and tingling of lips or tongue, -aphasia, -unilateral weakness

Which gerontologic assessment findings of the auditory system are related to the inner ear? Select all that apply. One, some, or all responses may be correct.

-hair cell degeneration -reduced blood supply to cochlea -less effective vestibular apparatus -Not atrophy of tympanic membrane -Not decline in ability to filter out unwanted sound

Frontal lobe functions

-voluntary eye movements, -playing musical instruments, and the ability to concentrate

Signs of increased ICP

Anorexia, nausea, and vomiting

Signs of increased ICP

Anorexia, nausea, and vomiting -irritability -decreased LOC

Trachoma treatment

Azithromycin

Which part of the brain primarily regulates muscle functioning and coordinates movement?

Cerebellum

Which action would the nurse test when assessing a client's eyes to ensure formation of a single image of close objects?

Convergence

The nurse is caring for a client who is scheduled for surgery for a detached retina. After the health care provider explains the procedure to the client, which outcome would the nurse reinforce as the surgical goal?

Create a scar that aids in healing retinal holes

A young man who sustained a spinal cord injury at the cervical level expresses concern about future sexual functioning. Which action would the nurse take?

Explain to the client that he likely will be able to have reflex penile erections.

Viral meningitis s/s

Headache, fever, and photophobia

sharp pain after repair of retinal detachment indicates what

Hemorrhage and should be reported

function of limbic system

Influence emotional behavior and memories

intentional tremors associated with

MS (multiple sclerosis)

A client is admitted to the hospital for cranial surgery. Which action would the nurse include in the preoperative plan of care?

Obtaining the client's consent for shaving the client's head

tic douloureux

Painful condition in which the trigeminal nerve is affected by pressure or degeneration. The pain is of a severe stabbing nature and radiates from the jaw and along the face.

A client has left hemiplegia because of a cerebrovascular accident (CVA, "brain attack"). What can the nurse do to contribute to the client's rehabilitation?

Position the client to prevent contractures

Parkinson symptoms

Resting tremor Bradykinesia Rigidity - cogwheeling -blank expression NOT:leaning toward side, intention tremors w/ mvmt

second phase of migraine headache

Severe pain over the ear is pain in the templar region